Individual provider Active NPI

Shayla Sharmin, RN, NP-C

  • Family Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1104460070
Registry record updated Nov 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143952 Issued in TX
Practice address
4911 Sandhill Dr
Sugar Land, TX 77479-5320
Phone
(281) 238-7870
NPI assigned
Nov 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 780600 TX
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X AP143952 TX
Family Nurse Practitioner 363LF0000X AP143952 TX Primary

Addresses

Primary practice location

4911 Sandhill Dr
Sugar Land, TX 77479-5320

Mailing address

4911 Sandhill Dr
Sugar Land, TX 77479-5320
Phone (281) 238-7870

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
I20210520000186 TX Practitioner - Nurse Practitioner 7618376815 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
780600TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Brazos Hybrid Pharmacy LLC CurrentSince May 17, 2021 Accepting new patients
Oakbend Medical Group Single Specialty CurrentSince Aug 24, 2021 Accepting new patients
Oakbend Medical Group CurrentSince Aug 24, 2021 Accepting new patients

Locations

1601 Main St
Ste 105
Richmond, TX 77469
Phone (281) 633-4925

545 Minonite Rd
Ste 110
Rosenberg, TX 77469
Phone (832) 930-8399

4911 Sandhill Dr
Sugar Land, TX 77479
Phone (281) 238-7870

Organizations & group practices 3

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": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637452800000",
    "number": "1104460070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 SANDHILL DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795320",
            "telephone_number": "281-238-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 SANDHILL DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795320",
            "telephone_number": "281-238-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMIN",
        "first_name": "SHAYLA",
        "credential": "RN, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2021-11-21",
        "certification_date": "2021-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "780600",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP143952",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.