Active NPI
Shermin Patel, APRN, FNP-C, ATC,LAT
- Nurse Practitioner
- Dallas, TX
National Provider Identifier
1164489928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1003352
- Practice address
- 6901 Snider PLZ
Dallas, TX 75205-5648 - Phone
- (214) 696-8033
- Fax
- (214) 361-2552
- NPI assigned
- Apr 27, 2006
- Last updated
- Jun 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1003352 | TX | Primary |
| Registered Nurse | 163W00000X | 829958 | TX | |
| Contractor | 171W00000X | AT2648 | TX | |
| Athletic Trainer | 2255A2300X | AT2648 | TX |
Addresses
Primary practice location
6901 Snider PLZ
Dallas, TX 75205-5648
Mailing address
2009 Wing Point LN
Plano, TX 75093-2512
Phone (214) 803-0231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 829958 | TX | MD | Registered Nurse |
| AT2648 | TX | MD | Athletic Trainer |
| 1003352 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossover Health Medical Group | Past | Accepting new patients |
Interoperability endpoints
- shermin.patel@160177656168452.direct.elationemr.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Austin, TX
- NPI 1568250207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654646400000",
"number": "1164489928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2009 WING POINT LN",
"city": "PLANO",
"state": "TX",
"postal_code": "750932512",
"telephone_number": "214-803-0231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 SNIDER PLZ",
"city": "DALLAS",
"state": "TX",
"postal_code": "752055648",
"telephone_number": "214-696-8033",
"fax_number": "214-361-2552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SHERMIN",
"name_prefix": "Mrs.",
"credential": "APRN, FNP-C, ATC,LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-27",
"last_updated": "2022-06-08",
"certification_date": "2022-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1003352",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "829958",
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "TX",
"license": "AT2648",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT2648",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.