Kevin D. Sheeran, CONTRACTOR

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

19890 Issued in TX

Practice address

1502 E Red River St # 131
Victoria, TX 77901-5523

Phone

(361) 935-0514

Fax

(361) 573-7713

NPI assigned

Apr 10, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Other names 1

• Mrs. Imelda R Sheeran Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215150164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 E RED RIVER ST # 131",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015523",
            "telephone_number": "361-935-0514",
            "fax_number": "361-573-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 E RED RIVER ST # 131",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015523",
            "telephone_number": "361-935-0514",
            "fax_number": "361-573-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEERAN",
        "first_name": "KEVIN",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "CONTRACTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "TX",
            "license": "19890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IMELDA",
            "last_name": "SHEERAN",
            "middle_name": "R",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shipra Sharma
• Cameron Lee Sharp, OTR
• William Bihshing Shay, M.D.
• Amy Elizabeth Shedd
• Imelda Sheeran
• Kevin Patrick Sheeran
• John Edward Sheffel, RN, FNP-C
• Chia Hui Shen, L.AC.
• Mary Shenouda
• Kyle Andrew Shnowski, CRNA

• Home Modifications Contractor in Victoria, TX
• Providers in Victoria, TX by specialty
• Home Modifications Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.