Individual provider Active NPI

Sherry Lynette Tenison, WHNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Terrell, TX
National Provider Identifier
1265462865
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
AP107457 Issued in TX
Practice address
617 W Moore Ave Ste B
Terrell, TX 75160-3128
Phone
(972) 563-8100
Fax
(877) 289-8708
NPI assigned
Jul 3, 2006
Last updated
Apr 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 558735 TX
Obstetrics & Gynecology Nurse Practitioner 363LX0001X AP107457 TX Primary

Addresses

Primary practice location

617 W Moore Ave Ste B
Terrell, TX 75160-3128

Mailing address

1208 Taylor Creek Dr
Mesquite, TX 75181-4234
Phone (469) 387-8025

Other practice location 1

3940 Saint Francis Ave Ste 107
Dallas, TX 75228-6165
Phone (972) 483-2247

Other practice location 2

5505 Broadway Blvd Ste B
Garland, TX 75043-3671
Phone (214) 703-6527

Other practice location 3

2914 S Buckner Blvd Ste B
Dallas, TX 75227-6907
Phone (214) 275-5256

Other identifiers 1

IdentifierTypeStateIssuer
156721602MedicaidTX

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
I20230607003707 TX Practitioner - Nurse Practitioner 7618978131 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2914 S Buckner Blvd
Suite B
Dallas, TX 75227-6907
Phone (214) 275-5256

5505 Broadway Blvd
Suite B
Garland, TX 75043-3671
Phone (214) 703-6527

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP107457TXMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orsel S. McGhee III M.D., P.a. CurrentSince Oct 9, 2022 Accepting new patients
Martin Luther King Jr Family Clinic Past Accepting new patients

Locations

617 W Moore Ave
Ste B
Terrell, TX 75160
Phone (972) 563-8100

Interoperability endpoints

  • Direct secure messaging: womenshealthcarecenter@whcci-tx.direct.office.nextgen.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1265462865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 TAYLOR CREEK DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751814234",
            "telephone_number": "469-387-8025",
            "fax_number": "877-289-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 W MOORE AVE STE B",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751603128",
            "telephone_number": "972-563-8100",
            "fax_number": "877-289-8708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3940 Saint Francis Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752286165",
            "country_code": "US",
            "telephone_number": "972-483-2247",
            "fax_number": "877-289-8708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5505 Broadway Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750433671",
            "country_code": "US",
            "telephone_number": "214-703-6527",
            "fax_number": "877-289-8708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2914 S Buckner Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752276907",
            "country_code": "US",
            "telephone_number": "214-275-5256",
            "fax_number": "877-289-8708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TENISON",
        "first_name": "SHERRY",
        "middle_name": "LYNETTE",
        "name_prefix": "Dr.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "558735",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "TX",
            "license": "AP107457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156721602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terrell, TX

Sources for this page

Verify at the official NPI Registry.