Active NPI
Carol Ann Sheer, RD, LD,CDE
- Registered Dietitian
- Lewisville, TX
National Provider Identifier
1619243797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT06915
- Practice address
- 350 E Vista Ridge Mall Dr
Apt 623
Lewisville, TX 75067-4072 - Phone
- (214) 629-0450
- NPI assigned
- Mar 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT06915 | TX | Primary |
Addresses
Primary practice location
350 E Vista Ridge Mall Dr
Apt 623
Lewisville, TX 75067-4072
Mailing address
350 E Vista Ridge Mall Dr
Apt 623
Lewisville, TX 75067
Phone (214) 629-0450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01210565 | Other | TX | MEDICARE RAILROAD |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impel Management Services, LLC | Dietitian, Registered | Past | Accepting new patients |
| Impel Management Services, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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 and National Provider Directory roles.
-
- Registered Dietitian
- Carrollton, TX
- NPI 1023065174
Dietitian, Registered
-
- Diagnostic Ultrasound Physician
- Hurst, TX
- NPI 1093752891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382572800000",
"number": "1619243797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 E VISTA RIDGE MALL DR",
"address_2": "APT 623",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "75067",
"telephone_number": "214-629-0450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 E VISTA RIDGE MALL DR",
"address_2": "APT 623",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750674072",
"telephone_number": "214-629-0450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEER",
"first_name": "CAROL",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RD, LD,CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-22",
"last_updated": "2013-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT06915",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P01210565",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.