Individual provider Active NPI

Shalise Takila Nasir, RN

  • Registered Nurse
  • Katy, TX
National Provider Identifier
1093659294
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
957872 Issued in TX
Practice address
1544 Dawn Harbor Dr
Katy, TX 77493-5329
Phone
(346) 823-7080
NPI assigned
Apr 17, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 957872 TX Primary

Addresses

Primary practice location

1544 Dawn Harbor Dr
Katy, TX 77493-5329

Mailing address

1544 Dawn Harbor Dr
Katy, TX 77493-5329
Phone (346) 823-7080

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
957872TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1776384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1093659294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 DAWN HARBOR DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774935329",
            "telephone_number": "346-823-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 DAWN HARBOR DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774935329",
            "telephone_number": "346-823-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASIR",
        "first_name": "SHALISE",
        "middle_name": "TAKILA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-17",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "957872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.