Active NPI
Sharon A. Reeves, FNP-C
- Family Nurse Practitioner
- Dallas, TX
National Provider Identifier
1255331245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 513758
- Practice address
- 3310 Live Oak St
Youth & Family Center
Dallas, TX 75204-6153 - Phone
- (214) 266-1257
- Fax
- (214) 266-1258
- NPI assigned
- Jul 30, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 513758 | TX | Primary |
Addresses
Primary practice location
3310 Live Oak St
Youth & Family Center
Dallas, TX 75204-6153
Mailing address
PO Box 660599
Dallas, TX 75266-0599
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137795418 | Medicaid | TX | |
| 137795414 | Medicaid | TX | |
| 137795420 | Medicaid | TX | |
| 137795412 | Medicaid | TX | |
| 137795417 | Medicaid | TX | |
| 137795415 | Medicaid | TX | |
| 137795419 | Medicaid | TX | |
| 137795421 | Medicaid | TX | |
| 137795422 | Medicaid | TX | |
| 8N9427 | Other | TX | BLUE CROSS & BLUE SHIELD |
| 137795413 | Medicaid | TX | |
| 137795416 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300665600000",
"number": "1255331245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660599",
"city": "DALLAS",
"state": "TX",
"postal_code": "752660599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3310 LIVE OAK ST",
"address_2": "YOUTH & FAMILY CENTER",
"city": "DALLAS",
"state": "TX",
"postal_code": "752046153",
"telephone_number": "214-266-1257",
"fax_number": "214-266-1258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEVES",
"first_name": "SHARON",
"middle_name": "A.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-30",
"last_updated": "2011-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "513758",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137795418",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137795414",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137795420",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137795412",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137795417",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137795415",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137795419",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137795421",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137795422",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "8N9427",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137795413",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137795416",
"state": "TX"
}
],
"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 Mar 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.