Individual provider Active NPI

Shem Omwansa Momanyi

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, TX
National Provider Identifier
1104634633
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1183610 Issued in TX
Practice address
6902 S Peek Rd
Richmond, TX 77407-1741
Phone
(832) 535-2770
NPI assigned
Dec 30, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1183610 TX Primary

Addresses

Primary practice location

6902 S Peek Rd
Richmond, TX 77407-1741

Mailing address

6902 S Peek Rd
Richmond, TX 77407-1741
Phone (832) 535-2770

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
I20250121002409 TX Practitioner - Nurse Practitioner 8527597566 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sunlight Behavioral Health LLCGroup PAC ID 6305255316, 4 clinicians
Aqeel Hashmi MD PAGroup PAC ID 0244452969, 5 clinicians

Practice addresses (Care Compare)

20242 Tarpon Bay LN
Cypress, TX 77433-5177
Phone (316) 371-1400

7103 S Peek Rd
Suite 100
Richmond, TX 77407-3499
Phone (832) 390-0900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1183610TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunlight Behavioral Health LLC Psychiatric/Mental Health CurrentSince Jan 1, 2025 Accepting new patients
Aqeel Hashmi MD PA CurrentSince Apr 1, 2025 Accepting new patients

Locations

6902 S Peek Rd
Richmond, TX 77407
Phone (832) 390-0900

7103 S Peek Rd
Ste 100
Richmond, TX 77407
Phone (832) 390-0900

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1104634633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6902 S PEEK RD",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071741",
            "telephone_number": "832-535-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6902 S PEEK RD",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071741",
            "telephone_number": "832-535-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMANYI",
        "first_name": "SHEM",
        "middle_name": "OMWANSA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1183610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.