Sherry Mathew Sam

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

1165935 Issued in TX

Practice address

6617 FM 2920 Rd
Spring, TX 77379-2636

Phone

(346) 220-3577

Fax

(281) 206-4487

NPI assigned

Jun 8, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Pristine OB-GYN Care PLLC

  • Medical Specialty Clinic/Center
  • Houston, TX
  • NPI 1346514619

  Single Specialty

  Medicare reassignment NPD
• Pristine Pediatrics & Family Medicine Clinic LLC

  • Pediatrics Physician
  • Houston, TX
  • NPI 1427521525

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1717804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1619719960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18618 ROSLYN SPRINGS DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773881402",
            "telephone_number": "832-353-7373",
            "fax_number": "281-206-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6617 FM 2920 RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773792636",
            "telephone_number": "346-220-3577",
            "fax_number": "281-206-4487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18618 Roslyn Springs Dr",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773881402",
            "country_code": "US",
            "telephone_number": "832-353-7373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAM",
        "first_name": "SHERRY",
        "middle_name": "MATHEW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-08",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "1165935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruben Arturo Salinas, PMHNP
• Salto Angel LLC
• Michelle Liberty Saltzer
• Salvationgracecare LLC
• Leslie Sam
• Essance Sample
• Embaty John Rupkumar Samuel, M.D.
• Paulraj Samuel, M.D.
• Said Sana, DO
• Kristy Ann Sanchez Leon

• Women's Health Nurse Practitioner in Spring, TX
• Providers in Spring, TX by specialty
• Women's Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.