Individual provider Active NPI

Trisha Gail Sheridan, WHNP-BC

  • Women's Health Nurse Practitioner
  • Huntsville, TX
National Provider Identifier
1215268990
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
791838 Issued in TX
Practice address
2405 Avenue I Ste C
Huntsville, TX 77340-5831
Phone
(936) 295-6396
Fax
(936) 295-6396
NPI assigned
Jan 20, 2010
Last updated
Feb 8, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 791838 TX Primary
Women's Health Nurse Practitioner 363LW0102X AP60116159 WA
Women's Health Nurse Practitioner 363LW0102X 42 420956 NY

Addresses

Primary practice location

2405 Avenue I Ste C
Huntsville, TX 77340-5831

Mailing address

2405 Avenue I Ste C
Huntsville, TX 77340-5831
Phone (936) 295-6396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
42 420956NYMDWomen's Health Nurse Practitioner
791838TXMDWomen's Health Nurse Practitioner
AP60116159WAMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1215268990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 AVENUE I STE C",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773405831",
            "telephone_number": "936-295-6396",
            "fax_number": "936-295-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 AVENUE I STE C",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773405831",
            "telephone_number": "936-295-6396",
            "fax_number": "936-295-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "TRISHA",
        "middle_name": "GAIL",
        "credential": "WHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "791838",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WA",
            "license": "AP60116159",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "42 420956",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.