Individual provider Active NPI

Sheronica D Wright-Evans

  • Driver
  • Texas City, TX
National Provider Identifier
1659096865
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
02218080 Issued in TX
Practice address
3210 Gulf Fwy Apt 1102
Texas City, TX 77591-2838
Phone
(409) 692-6123
NPI assigned
Oct 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 02218080 TX Primary

Addresses

Primary practice location

3210 Gulf Fwy Apt 1102
Texas City, TX 77591-2838

Mailing address

3210 Gulf Fwy Apt 1102
Texas City, TX 77591-2838
Phone (409) 692-6123

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sfnotz@outlook.com Health Information Exchange (HIE)

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
02218080TXMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1659096865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 GULF FWY APT 1102",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775912838",
            "telephone_number": "409-692-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 GULF FWY APT 1102",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775912838",
            "telephone_number": "409-692-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT-EVANS",
        "first_name": "SHERONICA",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "TX",
            "license": "02218080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sfnotz@outlook.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3210 Gulf Fwy Apt 1102",
            "city": "Texas City",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775912838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Texas City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.