Individual provider Active NPI

Sherri Diane Caudill, FNP

  • Family Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1194453829
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1088566 Issued in TX
Practice address
4102 22ND PL
Lubbock, TX 79410-1122
Phone
(806) 725-0237
Fax
(806) 725-1030
NPI assigned
Aug 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1088566 TX Primary

Addresses

Primary practice location

4102 22ND PL
Lubbock, TX 79410-1122

Mailing address

5529 50TH St Apt 1806
Lubbock, TX 79414-1657
Phone (806) 642-3442

Other practice location 1

301 3rd St Ste B
Farwell, TX 79325-4669
Phone (806) 481-7000

Other practice location 2

6843 82nd St Ste 101
Lubbock, TX 79424-5084
Phone (806) 368-5818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20221227002485 TX Practitioner - Nurse Practitioner 1850761362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical GroupGroup PAC ID 6901889393, 228 clinicians

Practice addresses (Care Compare)

4102 22ND PL
Lubbock, TX 79410-1122
Phone (806) 725-0237

Hospital & facility affiliations

  • Covenant Medical Center Hospital, Lubbock, TX, CCN 450040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group CurrentSince Mar 1, 2024 Accepting new patients
Covenant Medical Group CurrentSince Mar 1, 2024 Accepting new patients

Locations

3702 21st St
Lubbock, TX 79410
Phone (806) 795-2751

2215 Nashville Ave
Lubbock, TX 79410
Phone (806) 725-5228

4102 22nd Pl
Lubbock, TX 79410
Phone (806) 725-0237

Interoperability endpoints

  • Direct secure messaging: sherri.caudill@151406265106436.direct.elationemr.com
  • Direct secure messaging: sherri.caudill@402756199579652.direct.elationemr.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1194453829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5529 50TH ST APT 1806",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794141657",
            "telephone_number": "806-642-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101122",
            "telephone_number": "806-725-0237",
            "fax_number": "806-725-1030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 3rd St Ste B",
            "address_purpose": "LOCATION",
            "city": "Farwell",
            "state": "TX",
            "postal_code": "793254669",
            "country_code": "US",
            "telephone_number": "806-481-7000",
            "fax_number": "806-481-1006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6843 82nd St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794245084",
            "country_code": "US",
            "telephone_number": "806-368-5818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAUDILL",
        "first_name": "SHERRI",
        "middle_name": "DIANE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1088566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.