PENNYE SHERIDAN (NPI# 1346891058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346891058 |
| Entity Type | Individual |
| Full Name | PENNYE SHERIDAN |
| Practice Address |
755 S Beckham Ave Tyler TX 75701-1903 |
| Practice Telephone | 9035344684 |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 92416 | TX | Nursing Service Providers |
| Street Address |
755 S BECKHAM AVE |
| City | TYLER |
| State | TX |
| Zip Code | 75701-1903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457454415 | American Home Medical Services | Durable Medical Equipment & Medical Supplies | 755 S Beckham Ave, Tyler, TX 75701 | 2006-09-06 |
| 1891329678 | Perla Garrido | Registered Nurse | 755 S Beckham Ave, Tyler, TX 75701-1903 | 2020-03-02 |
| 1275166837 | Candace J Johnson | Licensed Vocational Nurse | 755 S Beckham Ave, Tyler, TX 75701-1903 | 2020-02-21 |
| 1427680982 | Emily Ann Phillps | Technician | 755 S Beckham Ave, Tyler, TX 75701-1903 | 2020-02-12 |
| 1285266569 | Maria Isabel Rodriguez Mendez | Licensed Vocational Nurse | 755 S Beckham Ave, Tyler, TX 75701-1903 | 2020-02-05 |
| 1629609151 | Belva Hartsfield | Licensed Vocational Nurse | 755 S Beckham Ave, Tyler, TX 75701-1903 | 2020-02-03 |
| 1790315414 | Latifah Renee Watkins | Licensed Vocational Nurse | 755 S Beckham Ave, Tyler, TX 75701-1903 | 2020-01-22 |
| 1790315612 | Latrece Washington | Licensed Vocational Nurse | 755 S Beckham Ave, Tyler, TX 75701-1903 | 2020-01-20 |
| 1043840168 | Janet Arlene Williams | Registered Nurse | 755 S Beckham Ave, Tyler, TX 75701-1903 | 2020-01-16 |
| 1972143303 | Andrea Garcia | Registered Nurse | 755 S Beckham Ave, Tyler, TX 75701-1903 | 2020-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912550617 | Carmen Janay Snipes | Licensed Practical Nurse | 1717 Shiloh Rd Apt 238, Tyler, TX 75703-2448 | 2019-07-22 |
| 1568930956 | Piedad Azalia Pineda | Licensed Practical Nurse | 2927 Van Hwy, Tyler, TX 75702-2647 | 2018-11-05 |
| 1679583793 | Peggy J Davidson | Licensed Practical Nurse | 455 Rice Rd Ste 108, #108, Tyler, TX 75703-3604 | 2006-08-09 |
| 1053928465 | Kimberly Mills | Licensed Practical Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2020-09-29 |
| 1093361321 | Vongretshun Smith-gross | Licensed Practical Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2019-08-13 |
| 1578046330 | Susan Eileen West | Licensed Practical Nurse | 100 E Ferguson St Ste 608, Tyler, TX 75702-5756 | 2018-09-07 |
| 1720564214 | Gertrude Ring | Licensed Practical Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-07-17 |
| 1023504396 | Tiffany Williams | Licensed Practical Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-07-10 |
| 1437659125 | Lacresha Danyell Youngblood | Licensed Practical Nurse | 755 S Beckham Ave, Tyler, TX 75701-1903 | 2018-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234500 | Ka'leria Cunningham | Licensed Practical Nurse | 442 Carroll Ave, Wake Village, TX 75501-5733 | 2020-10-27 |
| 1073113387 | Tiffiany Hansen | Licensed Practical Nurse | 163 County Road 1856, Chico, TX 76431-3429 | 2020-10-27 |
| 1538769740 | Kerri Kathleen Benavides | Licensed Practical Nurse | 2424 Wilcrest Dr Ste 100, Houston, TX 77042-2753 | 2020-10-27 |
| 1144828740 | Gabriella M Carrillo | Licensed Practical Nurse | 1712 E 13th St, Monahans, TX 79756-2129 | 2020-10-15 |
| 1366040198 | Michelle Merritt Gary | Licensed Practical Nurse | 118 Merritt Ln, Hemphill, TX 75948-3137 | 2020-10-14 |
| 1508464652 | Ariana Wilson | Licensed Practical Nurse | 1125 Elm St, Abilene, TX 79602-3718 | 2020-10-12 |
| 1962009431 | Victoria A Jernigan | Licensed Practical Nurse | 250 County Road 4311, Hondo, TX 78861-5035 | 2020-10-07 |
| 1558968271 | Dana Marie Griffin | Licensed Practical Nurse | 9747 Harbor Mist Ln, Converse, TX 78109-1836 | 2020-10-06 |
| 1184221772 | Coretta Renee Thomas | Licensed Practical Nurse | 1204 G W Jackson Ave, Corsicana, TX 75110-5604 | 2020-10-06 |
| 1194322032 | Flor Karime Jurado | Licensed Practical Nurse | 1410 Cowan Street, Pecos, TX 79772 | 2020-10-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.