Christine Sheridan, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200000617 Issued in NC

Practice address

3288 Robinhood Rd Ste 202
Winston Salem, NC 27106-5464

Phone

(336) 768-3335

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2022 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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

• Robinhood Integrative Health, PLLC

  • Primary Care Clinic/Center
  • Winston Salem, NC
  • NPI 1760771406
  NPD (past)
• Camp Hill Emergency Physicians LLC

  • Emergency Medicine Physician
  • Camp Hill, PA
  • NPI 1720037997
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1275547499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 THRESHING WAY UNIT 1037",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295793341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3288 ROBINHOOD RD STE 202",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271065464",
            "telephone_number": "336-768-3335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1095 N Bragg Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Spring Lake",
            "state": "NC",
            "postal_code": "28390",
            "country_code": "US",
            "telephone_number": "910-568-5793",
            "fax_number": "910-758-8042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1358 Lutztown Rd",
            "address_purpose": "LOCATION",
            "city": "Boiling Springs",
            "state": "PA",
            "postal_code": "170079302",
            "country_code": "US",
            "telephone_number": "717-258-3274",
            "fax_number": "717-258-0311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS009537L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200000617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tequilla Shepherd
• Alexandra Gilmore Sheppard, PA-C
• Caitlin Goodman Sheppard, PA
• Julianna K Sheppard, PHARMD
• Lauren Holley Sheppard
• Nina Sheridan
• Shayne Sheridan, O.D.
• Paige Lee Sherlund-Pelfrey
• Chase Andrew Sherman, DO
• Jamie C Sherman

• Family Medicine Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.