Individual provider Active NPI

Shazia Mominkhawaja, FNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1013516483
Registry record updated Oct 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F09200619 Issued in TX
Practice address
2222 Greenhouse Rd Ste 400
Houston, TX 77084-7288
Phone
(281) 201-1032
NPI assigned
Oct 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F09200619 TX Primary

Addresses

Primary practice location

2222 Greenhouse Rd Ste 400
Houston, TX 77084-7288

Mailing address

2222 Greenhouse Rd Ste 400
Houston, TX 77084-7288
Phone (281) 201-1032

Other practice location 1

27319 Onslow Run Dr
Katy, TX 77494-6388
Phone (832) 212-4406

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.careoneclinictx.com/services/telemedicinetelehealth Direct

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F09200619TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Texas Two Medical Group, PLLC Past Accepting new patients
Synergenx Physician Services PLLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEEJCA/Endpoint/GEEJCA

Organizations & group practices 2

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": "1602979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602979200000",
    "number": "1013516483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 GREENHOUSE RD STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770847288",
            "telephone_number": "281-201-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 GREENHOUSE RD STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770847288",
            "telephone_number": "281-201-1032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27319 Onslow Run Dr",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774946388",
            "country_code": "US",
            "telephone_number": "832-212-4406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOMINKHAWAJA",
        "first_name": "SHAZIA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-18",
        "last_updated": "2020-10-18",
        "certification_date": "2020-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F09200619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.careoneclinictx.com/services/telemedicinetelehealth",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2222 Greenhouse Rd Ste 400",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770847288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2020; 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.