Sheryl Frizzell Vaitkus

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

17239 Issued in TX

Practice address

4080 Summerhill SQ
Texarkana, TX 75503-2730

Phone

(903) 793-7994

Fax

(903) 793-7996

NPI assigned

May 24, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274659200000",
    "number": "1982923454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PARK CIR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755033201",
            "telephone_number": "903-277-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 SUMMERHILL SQ",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032730",
            "telephone_number": "903-793-7994",
            "fax_number": "903-793-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAITKUS",
        "first_name": "SHERYL",
        "middle_name": "FRIZZELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-24",
        "last_updated": "2010-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Nicole Upchurch, AGPCNP-BC
• Urology Associates of Texarkana, PA
• Urology Surgery Center of Texarkana
• Kashetu Usman, PHARMD
• William K Vahle, LCDC
• Eddy Valdez, MD
• Valiant Health, PLLC
• Andrea Lynn Bode Vann, MS RD LD
• Jordan Vanwinkle, COTA
• Andrea Jennifer Vargas, LVN

• Professional Counselor in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.