Sulik Sheridan Rock Priarie Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

110716 Issued in TX

Legal business name

SULIK SHERIDAN ROCK PRIARIE INC.

Doing business as

Sheridan on Rock Prairie

Practice address

1105 Rock Prairie Rd
College Station, TX 77845-8344

Phone

(979) 694-2200

Fax

(979) 696-6206

NPI assigned

Dec 7, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lynda Beard

Title

Cao

Phone

(979) 846-4633

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sheridan on Rock Prairie Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christina Louise Rosario

  • Family Nurse Practitioner
  • College Station, TX
  • NPI 1215621248
  NPD (past)

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427033968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4045",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778054045",
            "telephone_number": "979-846-4633",
            "fax_number": "979-846-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 ROCK PRAIRIE RD",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458344",
            "telephone_number": "979-694-2200",
            "fax_number": "979-696-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULIK SHERIDAN ROCK PRIARIE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "979-846-4633",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "110716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VENDOR NUMBER",
            "identifier": "4952",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheridan on Rock Prairie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Suarez
• Ben L Sueoka, M.D.
• Jothi A Sukkawala, M.D.
• Ketan Arun Sukkawala, DDS
• Sulik Sheridan Anderson Inc (Sheridan on Anderson)
• Amy Elizabeth Sullivan, LPC
• Kelly Ingrid Sullivan, MD
• Seth J. Sullivan, M.D.
• Tara Sulser, RN
• Mark Sultenfuss, MD

• Skilled Nursing Facility in College Station, TX
• Providers in College Station, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.