Active NPI
Heritage Parkway Medical PLLC
Doing business as Diverse Care
- Family Medicine Physician
- Sherman, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HERITAGE PARKWAY MEDICAL PLLC
- Doing business as
- Diverse Care
- Practice address
- 3415 North Heritage Parkway
Sherman, TX 75092-6634 - Phone
- (903) 308-4336
- Fax
- (214) 305-9078
- NPI assigned
- May 28, 2019
- Last updated
- Jul 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nidish Jose, AGNP
- Title
- Ceo
- Phone
- (903) 308-4336
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3415 North Heritage Parkway
Sherman, TX 75092-6634
Mailing address
2410 Luna Rd Ste 202
Carrollton, TX 75006-6538
Phone (903) 308-4336
Other practice location 1
2709 Cimarron Blvd Ste 100
Corpus Christi, TX 78414-3431
Phone (361) 208-7276
Other practice location 2
2410 Luna Rd Ste 202
Carrollton, TX 75006-6538
Phone (214) 592-1854
Other names 1
- Diverse Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2167651 | Heritage Parkway Medical, PLLC | Certificate of waiver | Jun 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
658 S Trade Days Blvd
Canton, TX 75103
Phone (469) 844-7021
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Health Nurse Practitioner
- Fort Worth, TX
- NPI 1104348903
-
- Family Nurse Practitioner
- Sherman, TX
- NPI 1912013988
-
- Nurse Practitioner
- Sherman, TX
- NPI 1053127902
-
- Psychiatric/Mental Health Nurse Practitioner
- Mansfield, TX
- NPI 1265868343
-
- Nurse Practitioner
- Aubrey, TX
- NPI 1699657205
-
- Family Nurse Practitioner
- Canton, TX
- NPI 1366135808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783468800000",
"number": "1770140550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 LUNA RD STE 202",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750066538",
"telephone_number": "903-308-4336",
"fax_number": "903-771-4541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 NORTH HERITAGE PARKWAY",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750926634",
"telephone_number": "903-308-4336",
"fax_number": "214-305-9078"
}
],
"practiceLocations": [
{
"address_1": "2709 Cimarron Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Corpus Christi",
"state": "TX",
"postal_code": "784143431",
"country_code": "US",
"telephone_number": "361-208-7276",
"fax_number": "214-305-9078",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2410 Luna Rd Ste 202",
"address_purpose": "LOCATION",
"city": "Carrollton",
"state": "TX",
"postal_code": "750066538",
"country_code": "US",
"telephone_number": "214-592-1854",
"fax_number": "214-305-9078",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HERITAGE PARKWAY MEDICAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-28",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A",
"authorized_official_last_name": "JOSE",
"authorized_official_first_name": "NIDISH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "903-308-4336",
"authorized_official_credential": "AGNP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Diverse Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sherman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.