Individual provider Active NPI

Sheena Lillian John, PA-C

  • Physician Assistant
  • Waxahachie, TX
National Provider Identifier
1851943567
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
141 RVG Pkwy Ste 101
Waxahachie, TX 75165-5289
Phone
(972) 923-8923
NPI assigned
Jul 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

141 RVG Pkwy Ste 101
Waxahachie, TX 75165-5289

Mailing address

141 RVG Pkwy Ste 101
Waxahachie, TX 75165-5289
Phone (214) 870-1579

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
I20201204002466 TX Practitioner - Physician Assistant 5890106363 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Nov 29, 2021 Accepting new patients
Texas Sleep Diagnostics and Therapeutics LLC CurrentSince Dec 13, 2020 Accepting new patients
Healthtexas Provider Network CurrentSince Nov 29, 2021 Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

3600 Gaston Ave
Ste 960
Dallas, TX 75246
Phone (214) 820-5630

141 Rvg Pkwy
Ste 101
Waxahachie, TX 75165
Phone (214) 550-6411

Interoperability endpoints

  • Direct secure messaging: sjohn740821@direct.sw.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1851943567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 RVG PKWY STE 101",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751655289",
            "telephone_number": "214-870-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 RVG PKWY STE 101",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751655289",
            "telephone_number": "972-923-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "SHEENA",
        "middle_name": "LILLIAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

Verify at the official NPI Registry.