Active NPI
Sylvie Ndjie Enoh, PAC
- Physician Assistant
- Lewisville, TX
National Provider Identifier
1811131964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA06193
- Practice address
- 2681 Macarthur Blvd Ste 205
Lewisville, TX 75067-8259 - Phone
- (972) 803-6789
- NPI assigned
- Apr 20, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA06193 | TX | Primary |
Addresses
Primary practice location
2681 Macarthur Blvd Ste 205
Lewisville, TX 75067-8259
Mailing address
2681 Macarthur Blvd Ste 205
Lewisville, TX 75067-8259
Phone (972) 803-6789
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203482904 | Medicaid | TX | |
| 203482905 | Medicaid | TX | |
| 84333049 | Medicaid | NM | |
| 203482903 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA06193 | TX | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698710400000",
"number": "1811131964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2681 MACARTHUR BLVD STE 205",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750678259",
"telephone_number": "972-803-6789",
"fax_number": "972-819-0050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2681 MACARTHUR BLVD STE 205",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750678259",
"telephone_number": "972-803-6789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENOH",
"first_name": "SYLVIE",
"middle_name": "NDJIE",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-20",
"last_updated": "2023-10-31",
"certification_date": "2023-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA06193",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203482904",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203482905",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "84333049",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203482903",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lewisville, TX
- Emerging Butterfly Counseling, PLLC
- Emmanuel F.Desai.M.D.,P.a. (Lewisville Diagnostic Center)
- Enable Home Healthcare, LLC (Enable Home Healthcare)
- Encourage Home Health Care LLC
- Catherine Ijeoma Eneh, RN
- Heidi Enriquez, LPCA
- Judit Epstein-Browell, PH.D.
- Eric Drew, M.D., P.a.
- Eric Drew, M.D., P.a.
- Karra E Erickson, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.