Individual provider Active NPI

Sheryl John

  • Acute Care Nurse Practitioner
  • Houston, TX
National Provider Identifier
1730857780
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
F431929-01 Issued in NY
Practice address
1635 North Loop W Ste Se155
Houston, TX 77008-1532
Phone
(713) 867-2429
NPI assigned
Sep 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1147483 TX
Acute Care Nurse Practitioner 363LA2100X F431929-01 NY Primary

Addresses

Primary practice location

1635 North Loop W Ste Se155
Houston, TX 77008-1532

Mailing address

914 N 5TH St
New Hyde Park, NY 11040-2934
Phone (516) 776-4830

Other practice location 1

929 Gessner Rd Ste Mh5307
Houston, TX 77024-2515
Phone (713) 242-4931

Other practice location 2

23900 Katy Fwy # E1216.1
Katy, TX 77494-1323
Phone (281) 644-8156

Other practice location 3

7600 Beechnut St Ste 832
Houston, TX 77074-4302
Phone (713) 456-5716

Other practice location 4

Long Island Jewish Medical Center
70-05 76th Ave, Queens, NY 11040
Queens, NY 11040
Phone (718) 470-7880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220425000300 NY Practitioner - Nurse Practitioner 8325435233 Reassigns benefits to 1 organization
I20240716001958 TX Practitioner - Nurse Practitioner 8325435233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hermann Medical GroupGroup PAC ID 7012008360, 760 clinicians

Practice addresses (Care Compare)

1635 N Loop W
Houston, TX 77008-1532
Phone (713) 867-2066

1635 N Loop W S Tower FL
Suite 1
Houston, TX 77008-1532
Phone (713) 867-2066

1801 N Loop W
Suite 30
Houston, TX 77008-1445
Phone (713) 802-9781

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F431929-01NYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Feb 1, 2022 Accepting new patients
Memorial Hermann Medical Group CurrentSince Aug 1, 2024 Accepting new patients
North Shore - Lij Medical PC CurrentSince Feb 1, 2022 Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

909 Frostwood Dr
Ste 1405
Houston, TX 77024
Phone (713) 338-5519

929 Gessner Rd
Ste MH5307
Houston, TX 77024
Phone (713) 242-4931

921 Gessner Rd
Ste 5307
Houston, TX 77024

7600 Beechnut St
Ste 832
Houston, TX 77074
Phone (713) 456-5716

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

7600 Beechnut St
Ste 8
Houston, TX 77074

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

1635 North Loop W
Ste SE155
Houston, TX 77008
Phone (713) 867-2429

23900 Katy Fwy
#E12161
Katy, TX 77494
Phone (281) 644-8156

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

Organizations & group practices 3

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 6

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": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1730857780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 N 5TH ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402934",
            "telephone_number": "516-776-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 NORTH LOOP W STE SE155",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081532",
            "telephone_number": "713-867-2429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "929 Gessner Rd Ste Mh5307",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770242515",
            "country_code": "US",
            "telephone_number": "713-242-4931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23900 Katy Fwy # E1216.1",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774941323",
            "country_code": "US",
            "telephone_number": "281-644-8156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7600 Beechnut St Ste 832",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770744302",
            "country_code": "US",
            "telephone_number": "713-456-5716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Long Island Jewish Medical Center",
            "address_2": "70-05 76th Ave, Queens, NY 11040",
            "address_purpose": "LOCATION",
            "city": "Queens",
            "state": "NY",
            "postal_code": "11040",
            "country_code": "US",
            "telephone_number": "718-470-7880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHN",
        "first_name": "SHERYL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1147483",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F431929-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.