Sierra Isom, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1179669 Issued in TX

Practice address

1754 Broad Park Cir N
Mansfield, TX 76063-7821

Phone

(817) 225-2718

NPI assigned

Nov 8, 2024

Last updated

Nov 8, 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

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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13085/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/FFBCCD

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.

• Steven P Havard, MD, PA

  • Cardiovascular Disease Physician
  • Mansfield, TX
  • NPI 1528207024
  Medicare reassignment NPD
• Premier Heart Center, PLLC

  • Clinical Cardiac Electrophysiology Physician
  • Grapevine, TX
  • NPI 1831740802
  NPD

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1710701537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1754 BROAD PARK CIR N",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637821",
            "telephone_number": "817-225-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1754 BROAD PARK CIR N",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637821",
            "telephone_number": "817-225-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISOM",
        "first_name": "SIERRA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1179669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irving Coppell Primary Care Doctors PLLC
• Joseph Edward Irving, DDS
• Island Orthodontics
• Abdo Ismail, DDS, MS
• Iso Healthcare LLC
• Maurice Isuo, DC
• Ivy Leaves Place, LLC
• Linda Iyamah, PMHNP-BC
• Sylvester O Iyamah, PMHNP - BC
• Obehi Iyoha

• Nurse Practitioner in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.