SHEEBA R MATHAI (NPI# 1477988475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477988475 |
| Entity Type | Individual |
| Full Name | SHEEBA R MATHAI |
| Credential | FNP-BC |
| Practice Address |
4625 Pony Ave Carrollton TX 75010-4938 |
| Mailing Address |
4625 Pony Ave Apt.5101 Carrollton TX 75010-4970 |
| Practice Telephone | 9727872710 |
| Mailing Telephone | 9727872710 |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2015-07-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 661899 | TX | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP123519 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | PRESCRIPTION ID NUMBER | 013956 | 01 |
| Street Address |
4625 PONY AVE |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75010-4938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245892017 | Mustang Healthcare Pllc | Clinic/Center | 4625 Pony Ave, Carrollton, TX 75010-4970 | 2019-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043782907 | Timothy C. Pringle Md Pa | Surgery | 4541 N. Josey Lane, Suite 140, Carrollton, TX 75010 | 2018-12-17 |
| 1184106411 | Cindy T Vu | Occupational Therapy Assistant | 1877 Cheyenne, Carrollton, TX 75010 | 2018-09-04 |
| 1639686256 | Little Lantern Hospice LLC | Hospice Care, Community Based | 4541 North Josey Lane, Suite 110-b, Carrollton, TX 75010 | 2018-01-04 |
| 1235681610 | Kahini Shah | Physical Therapist | 1012 W Hebron Pkwy Ste 124, Carrollton, TX 75010 | 2016-11-01 |
| 1881148849 | Wais Azesh | Dentist | 1233 Apache Lake Dr, Carrollton, TX 75010 | 2016-08-08 |
| 1225485055 | Julia Buckelew | Physical Therapist | 4100 Fairway Dr Ste 400, Carrollton, TX 75010 | 2016-05-23 |
| 1811355639 | Fastpass Ucc, Pllc | Clinic/Center | 4228 N Josey Ln Ste 150, Carrollton, TX 75010 | 2016-02-08 |
| 1326404393 | Miaojuan Li | Nurse Practitioner | 4100 Fairway Dr Ste 300, Carrollton, TX 75010 | 2016-01-06 |
| 1912376112 | Envoy Hospice North LLC | Hospice Care, Community Based | 4040 Tx-121, Carrollton, TX 75010 | 2015-09-17 |
| 1932593936 | Lifeway Hospice, LLC | Hospice Care, Community Based | 4040 State Highway 121, Suite 140, Carrollton, TX 75010 | 2015-03-27 |
| Find all providers in zip 75010 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583531 | Tessy M. John | Nurse Practitioner | 1656 Audubon Ct, Carrollton, TX 75010-2145 | 2020-09-16 |
| 1619589769 | Hyo Sook Choi | Nurse Practitioner | 2324 Old Denton Rd Ste 100, Carrollton, TX 75006-1440 | 2020-08-20 |
| 1861001000 | Allwell Health Care | Nurse Practitioner | 1001 E Hebron Pkwy Ste 118-297, Carrollton, TX 75010-1002 | 2020-07-23 |
| 1114536364 | Gloria Oluchi Ikonne | Nurse Practitioner | 1001 East Hebron Pkwy Suite 118-297, Carrollton, TX 75010-1015 | 2020-07-23 |
| 1851909717 | Antoinae Hawkins | Nurse Practitioner | 1110 E Branch Hollow Dr Apt 356, Carrollton, TX 75007-1072 | 2020-07-16 |
| 1770106429 | Rhema Healthcare Services | Nurse Practitioner | 1420 Valwood Pkwy Ste No20170a, Carrollton, TX 75006-8312 | 2020-05-28 |
| 1255968004 | Eunjung Kim | Nurse Practitioner | 4444 Saukenuk Ln, Carrollton, TX 75010-1203 | 2020-03-23 |
| 1124660063 | Jenna Brooke Pugh | Nurse Practitioner | 2160 County Road 130, Carrollton, MS 38917-5731 | 2019-10-11 |
| 1760023972 | Amy Rowell | Nurse Practitioner | 150 Clinic Ave Ste 201, Carrollton, GA 30117-4402 | 2019-09-30 |
| 1083270557 | Ray Thomas | Nurse Practitioner | 1033 Dame Carol Way, Carrollton, TX 75010-2357 | 2019-05-10 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 75010 |
Please comment or provide details below to improve the information on SHEEBA R MATHAI.
| 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.