Individual provider Active NPI

Shelbi Lynn Weatherly, APRN, FNP-C

  • Family Nurse Practitioner
  • Baytown, TX
National Provider Identifier
1083100648
Registry record updated Jun 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137846 Issued in TX
Practice address
803 Massey Tompkins Rd
Baytown, TX 77521-4315
Phone
(281) 757-3250
Fax
(713) 565-4990
NPI assigned
Jul 6, 2018
Last updated
Jun 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2021

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 AP137846 TX Primary

Addresses

Primary practice location

803 Massey Tompkins Rd
Baytown, TX 77521-4315

Mailing address

803 Massey Tompkins Rd
Baytown, TX 77521-4315
Phone (281) 757-3250

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Baytown

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

State licenses

LicenseStateTypeSpecialty
AP137846TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624147200000",
    "number": "1083100648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 MASSEY TOMPKINS RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775214315",
            "telephone_number": "281-757-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 MASSEY TOMPKINS RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775214315",
            "telephone_number": "281-757-3250",
            "fax_number": "713-565-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERLY",
        "first_name": "SHELBI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2021-06-20",
        "certification_date": "2021-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Baytown",
            "affiliation": "N",
            "address_1": "803 Massey Tompkins Rd",
            "city": "Baytown",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775214315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2021; 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.