Khristy Jeneen Sherrell, FNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1178267 Issued in TX

Practice address

2611 Shale St
Midlothian, TX 76065-2242

Phone

(972) 217-6758

NPI assigned

Oct 21, 2024

Last updated

Oct 21, 2024By the provider in NPPES

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

Other names 1

• Khristy Jeneen Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1679394951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 SHALE ST",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760652242",
            "telephone_number": "972-217-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 SHALE ST",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760652242",
            "telephone_number": "972-217-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRELL",
        "first_name": "KHRISTY",
        "middle_name": "JENEEN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "1178267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHRISTY",
            "last_name": "SMITH",
            "middle_name": "JENEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tabitha Jayne Schwark, COTA
• Krystina G Scoggins
• Bobby Ray Seago
• Monica Sheibley, DDS
• Shelly K. Clark, Dentistry for Children (Shelly K. Clark, DDS Dentistry for Children)
• John Daniel Shields, MED, ATC, LAT
• Shizuoka PLLC (Alpha Dental)
• Deniyah Shropshire
• Jennifer Marie Siebert
• Jackeline Sierra, LPCA

• Family Medicine Physician in Midlothian, TX
• Providers in Midlothian, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.