Organization Active NPI

One Family Clinic

  • Family Nurse Practitioner
  • Sherman, TX
National Provider Identifier
1558055780
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ONE FAMILY CLINIC
Practice address
2001 N Loy Lake Rd Ste M
Sherman, TX 75090-2837
Phone
(903) 618-3244
NPI assigned
Jun 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Authorized official

Name
Quyen Johnson, FNP-CNPI 1003221441
Title
Manager
Phone
(903) 618-3244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2001 N Loy Lake Rd Ste M
Sherman, TX 75090-2837

Mailing address

2001 N Loy Lake Rd Ste M
Sherman, TX 75090-2837
Phone (903) 618-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230715000183 TX Part B Supplier - Clinic/Group Practice 6204296791 Receives reassigned benefits from 1 practitioner
Practice locations: Sherman, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2268420One Family Clinic2001 N. Loy Lake Rd Suite M, Sherman, TX 75090Certificate of waiverSep 11, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1558055780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N LOY LAKE RD STE M",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902837",
            "telephone_number": "903-618-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N LOY LAKE RD STE M",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902837",
            "telephone_number": "903-618-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "QUYEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "903-618-3244",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.