Individual provider Active NPI

Sydney Laine Sorley, APRN FNP-C

  • Family Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1588332571
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1047423 Issued in TX
Practice address
4102 24TH St Ste 205
Lubbock, TX 79410-1801
Phone
(806) 725-7015
Fax
(806) 723-6128
NPI assigned
Sep 2, 2021
Last updated
May 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1047423 TX Primary

Addresses

Primary practice location

4102 24TH St Ste 205
Lubbock, TX 79410-1801

Mailing address

4102 24TH St Ste 205
Lubbock, TX 79410-1801
Phone (806) 725-7015

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
I20211229001490 TX Practitioner - Nurse Practitioner 7113318155 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group CurrentSince Jan 10, 2022 Accepting new patients
Covenant Medical Group CurrentSince Jan 10, 2022 Accepting new patients

Locations

2215 Nashville Ave
Lubbock, TX 79410
Phone (806) 725-5228

3506 21st St
Ste 606
Lubbock, TX 79410
Phone (806) 725-4730

4102 24th St
Ste 205
Lubbock, TX 79410
Phone (806) 725-7015

4102 24th St
Ste 409
Lubbock, TX 79410
Phone (806) 722-1625

Interoperability endpoints

  • Direct secure messaging: ssorley2003220@oc.providencedirect.org

Organizations & group practices 2

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": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1588332571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 24TH ST STE 205",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101801",
            "telephone_number": "806-725-7015",
            "fax_number": "806-723-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 24TH ST STE 205",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101801",
            "telephone_number": "806-725-7015",
            "fax_number": "806-723-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORLEY",
        "first_name": "SYDNEY",
        "middle_name": "LAINE",
        "name_prefix": "Miss",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2023-05-24",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1047423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.