Active NPI
Sherry Moua, APRN, FNP-C
- Nurse Practitioner
- Fort Worth, TX
National Provider Identifier
1649756305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 822957
- Practice address
- 4140 Heritage Trace Pkwy
Fort Worth, TX 76244-5310 - Phone
- (817) 741-7353
- NPI assigned
- Jul 16, 2018
- Last updated
- Nov 6, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 822957 | TX | Primary |
Addresses
Primary practice location
4140 Heritage Trace Pkwy
Fort Worth, TX 76244-5310
Mailing address
4140 Heritage Trace Pkwy
Fort Worth, TX 76244-5310
Phone (817) 741-7501
Other names 1
- Miss Sherry Yang
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 822957 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catalyst Physician Group - NTX, PLLC | Current | Accepting new patients |
Locations
1105 Central Expy N
Ste 2120
Allen, TX 75013
Phone (972) 727-9877
1610 Commons Cir
Northlake, TX 76226
Phone (940) 725-3400
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Plano, TX
- NPI 1811677610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572998400000",
"number": "1649756305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 HERITAGE TRACE PKWY",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762445310",
"telephone_number": "817-741-7501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4140 HERITAGE TRACE PKWY",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762445310",
"telephone_number": "817-741-7353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUA",
"first_name": "SHERRY",
"name_prefix": "Mrs.",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-16",
"last_updated": "2019-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "822957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHERRY",
"last_name": "YANG",
"prefix": "MISS",
"credential": "APRN, FNP-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.