Individual provider Active NPI

Sharon Lott, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Paris, TX
National Provider Identifier
1730568338
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP128744 Issued in TX
Practice address
305 N Collegiate Dr
Paris, TX 75460-4870
Phone
(903) 609-3839
Fax
(903) 783-1024
NPI assigned
May 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP128744 TX
Adult Health Nurse Practitioner 363LA2200X 83065 OK
Adult Health Nurse Practitioner 363LA2200X AP128744 TX Primary

Addresses

Primary practice location

305 N Collegiate Dr
Paris, TX 75460-4870

Mailing address

305 N Collegiate Dr
Paris, TX 75460-4870
Phone (903) 609-3839

Other identifiers 1

IdentifierTypeStateIssuer
0000000MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151118002515 TX Practitioner - Nurse Practitioner 7113234824 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preston Family Medical ClinicGroup PAC ID 3678666997, 3 clinicians
Acs Primary Care Physicians Southwest PAGroup PAC ID 1850204363, 188 clinicians

Practice addresses (Care Compare)

1122 E Austin St
Paris, TX 75460-0411
Phone (903) 783-1999

865 Deshong Dr
Paris, TX 75460-9313
Phone (903) 785-4521

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
83065OKMDAdult Health Nurse Practitioner
AP128744TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Primary Care Physicians Southwest, PA Nurse Practitioner CurrentSince Jul 1, 2020 Accepting new patients
Preston Family Medical Clinic CurrentSince Dec 15, 2024 Accepting new patients

Locations

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

1122 E Austin St
Paris, TX 75460
Phone (903) 783-0500

865 Deshong Dr
Paris, TX 75460
Phone (903) 731-1111

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1730568338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N COLLEGIATE DR",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754604870",
            "telephone_number": "903-609-3839",
            "fax_number": "903-783-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N COLLEGIATE DR",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754604870",
            "telephone_number": "903-609-3839",
            "fax_number": "903-783-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTT",
        "first_name": "SHARON",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-28",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP128744",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "83065",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP128744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.