Individual provider Active NPI

Sheri A Tajudeen, RN

  • Ambulance
  • Houston, TX
National Provider Identifier
1306832720
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1000035 Issued in TX
Practice address
8200 Wednesbury LN
Suite 365
Houston, TX 77074-2925
Phone
(713) 484-7555
Fax
(713) 484-6318
NPI assigned
Sep 21, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 009098 TX
Ambulance 341600000X 1000035 TX Primary

Addresses

Primary practice location

8200 Wednesbury LN
Suite 365
Houston, TX 77074-2925

Mailing address

8200 Wednesbury LN
Suite 365
Houston, TX 77074-2925
Phone (713) 484-7555

Other identifiers 2

IdentifierTypeStateIssuer
009098MedicaidTX
198351201MedicaidTX

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
009098TXMDHome Health Registered Nurse
1000035TXMDAmbulance

Practice roles

OrganizationSpecialtyStatusNew patients
Amazing Grace EMS, Inc Ambulance Past Accepting new patients

Organizations & group practices 1

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1306832720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 WEDNESBURY LN",
            "address_2": "SUITE 365",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742925",
            "telephone_number": "713-484-7555",
            "fax_number": "713-484-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 WEDNESBURY LN",
            "address_2": "SUITE 365",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742925",
            "telephone_number": "713-484-7555",
            "fax_number": "713-484-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAJUDEEN",
        "first_name": "SHERI",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "009098",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "1000035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009098",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198351201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.