Sherrita Carter

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP131326 Issued in TX

Practice address

2000 S Mays St
Ste 2001
Round Rock, TX 78664-7531

Phone

(512) 244-4272

NPI assigned

Jul 11, 2016

Sex

Female

Sole proprietor

No

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.

• Mark Malone MD PA

  • Pain Medicine (Anesthesiology) Physician
  • Round Rock, TX
  • NPI 1407057250

  TX

  Medicare reassignment Care Compare group NPD
• Mark Malone MD PA

  • Pain Medicine (Anesthesiology) Physician
  • Waco, TX
  • NPI 1710522859
  Care Compare group
• Mark Malone, MD PA

  • Pain Medicine (Anesthesiology) Physician
  • Killeen, TX
  • NPI 1982581427
  NPD

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mark Malone MD PA 102 clinicians

Practice addresses (Care Compare)

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

Interoperability endpoints

• Direct secure messaging: sherrita.carter.1@24201.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 6, 2021.

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1639521925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S MAYS ST STE 201",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647580",
            "telephone_number": "512-244-4272",
            "fax_number": "512-244-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S MAYS ST",
            "address_2": "STE 2001",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647531",
            "telephone_number": "512-244-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "SHERRITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "389670601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johnathan Marvin Carroll, O.D.
• Tannon Dajuan Carroll, MD
• Lisa Marie Carson, LPC
• Christine K Carter, PA-C
• Seretha Manor Carter, LPC
• Carus Dental PC
• Carus Dental PC
• Amanda Leigh Casas
• Kristin Casbon, OTR
• Nina Caserio

• All providers in Round Rock, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.
• 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.