Jennifer Shah, AGNP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP133719 Issued in TX

Practice address

301 N Preston Rd Ste B
Prosper, TX 75078-8876

Phone

(972) 347-1320

NPI assigned

Apr 4, 2017

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Henson Clinic

  dba Family Focused Care

  • Family Health Clinical Nurse Specialist
  • Prosper, TX
  • NPI 1982984779
  Medicare reassignment
• NP Concepts, PLLC

  • Licensed Practical Nurse
  • Prosper, TX
  • NPI 1639580087
  NPD (past)

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1023541448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 KIESTWOOD CIR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750253027",
            "telephone_number": "734-478-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N PRESTON RD STE B",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788876",
            "telephone_number": "972-347-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP133719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Segars
• Tara Yvonne Seifer, FUNCTIONAL NUTRITION
• Selyse Ability and Beyond
• Jill Hilscher Sentlingar, DDS
• Serving With Love Healthcare
• Shahzad Khan MD PLLC
• Supriya Sharma
• Sarah Woods Shaw, LPC
• Melika Shayegh
• Sarah Elizabeth Sheets

• Adult Health Nurse Practitioner in Prosper, TX
• Providers in Prosper, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.