Individual provider Active NPI

Sherry Van Meter, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lufkin, TX
National Provider Identifier
1134440829
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60146681 Issued in WA
Practice address
2001 S Medford Dr
Lufkin, TX 75901-6260
Phone
(936) 639-1141
Fax
(936) 633-5695
NPI assigned
Jun 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X N360151780 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 633437 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60146681 WA Primary

Addresses

Primary practice location

2001 S Medford Dr
Lufkin, TX 75901-6260

Mailing address

2001 S Medford Dr
Lufkin, TX 75901-6260
Phone (936) 639-1141

Other practice location 1

884 W Park Ave
Port Townsend, WA 98368-2273
Phone (360) 385-0321

Other identifiers 1

IdentifierTypeStateIssuer
154026202MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL DBH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110228000375 TX Practitioner - Nurse Practitioner 5193906980 Reassigns benefits to 1 organization
I20181031000494 WA Practitioner - Nurse Practitioner 5193906980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kitsap Mental Health ServicesGroup PAC ID 2961391875, 9 clinicians

Practice addresses (Care Compare)

5455 Almira Dr NE
Bremerton, WA 98311-8330
Phone (360) 373-5422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP60146681WAMDPsychiatric/Mental Health Nurse Practitioner
N360151780WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Burke Center CurrentSince Nov 2, 2010 Accepting new patients
Kitsap Mental Health Services CurrentSince Aug 19, 2018 Accepting new patients
Moonrise Mental Health PLLC Psychiatric/Mental Health PastSince Oct 20, 2014 Accepting new patients
Madrona Institute of Washington Past Accepting new patients

Locations

2001 S Medford Dr
Lufkin, TX 75901
Phone (936) 633-5672

5455 Almira Dr NE
Bremerton, WA 98311
Phone (360) 373-5031

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1134440829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S MEDFORD DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759016260",
            "telephone_number": "936-639-1141",
            "fax_number": "936-633-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S MEDFORD DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759016260",
            "telephone_number": "936-639-1141",
            "fax_number": "936-633-5695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "884 W Park Ave",
            "address_purpose": "LOCATION",
            "city": "Port Townsend",
            "state": "WA",
            "postal_code": "983682273",
            "country_code": "US",
            "telephone_number": "360-385-0321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN METER",
        "first_name": "SHERRY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "N360151780",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "633437",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60146681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154026202",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DBH",
            "affiliation": "N",
            "address_1": "884 W Park Ave",
            "city": "Port Townsend",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983682273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.