Coy Bentry Sidney

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

7310 Crescent Bridge CT
Humble, TX 77396-1685

Phone

(713) 530-0935

Fax

(281) 459-3386

NPI assigned

Oct 5, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1205161569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 CRESCENT BRIDGE CT",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773961685",
            "telephone_number": "713-530-0935",
            "fax_number": "281-459-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 CRESCENT BRIDGE CT",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773961685",
            "telephone_number": "713-530-0935",
            "fax_number": "281-459-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDNEY",
        "first_name": "COY",
        "middle_name": "BENTRY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SHJD Evolution Medical Solutions LLC
• Vasilika Shmidt
• Charles Edward Shobe, COTA
• Nicole Shojaei
• Kim Ray Shrum, MD
• Diana Asucena Sifuentes, MS, EP-C
• Anne Michelle Simmons
• Ashley Mitchell Simmons, COTA
• Kalendria Simmons
• Kimberly Simmons, LCSW

• Case Manager/Care Coordinator in Humble, TX
• Providers in Humble, TX by specialty
• Case Manager/Care Coordinator in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.