Individual provider Active NPI

Shanekwah Folami Melville, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1093167215
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131605 Issued in TX
Practice address
2646 S Loop W Ste 423
Houston, TX 77054-2678
Phone
(713) 734-7850
Fax
(713) 234-7844
NPI assigned
Jul 12, 2016
Last updated
Feb 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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 AP131605 TX Primary

Addresses

Primary practice location

2646 S Loop W Ste 423
Houston, TX 77054-2678

Mailing address

2646 S Loop W Ste 423
Houston, TX 77054-2678
Phone (713) 234-7850

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20161104001001 TX Practitioner - Nurse Practitioner 7416235825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2646 S Loop W
Suite 423
Houston, TX 77054-2678
Phone (713) 730-5009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Healthcare, LLC Family CurrentSince Sep 1, 2021 Accepting new patients
On Site Counseling,Inc. CurrentSince Aug 1, 2016 Accepting new patients

Locations

2646 S Loop W
Ste 423
Houston, TX 77054
Phone (713) 234-7850

3007 Caroline St
Houston, TX 77004
Phone (713) 528-2328

3730 Kirby Dr
Ste 1200
Houston, TX 77098
Phone (713) 730-5009

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1093167215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2646 S LOOP W STE 423",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542678",
            "telephone_number": "713-234-7850",
            "fax_number": "713-234-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 S LOOP W STE 423",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542678",
            "telephone_number": "713-734-7850",
            "fax_number": "713-234-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELVILLE",
        "first_name": "SHANEKWAH",
        "middle_name": "FOLAMI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.