Individual provider Active NPI

Tashna Samuels

  • Family Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1154071637
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1134537 Issued in TX
Practice address
16537 Southwest Fwy Ste 110
Sugar Land, TX 77479-7239
Phone
(281) 276-1960
NPI assigned
Mar 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 920993 TX
Family Nurse Practitioner 363LF0000X 1134537 TX Primary

Addresses

Primary practice location

16537 Southwest Fwy Ste 110
Sugar Land, TX 77479-7239

Mailing address

28430 Asher Falls LN
Fulshear, TX 77441-1820
Phone (346) 387-4139

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
I20231020003102 TX Practitioner - Nurse Practitioner 7719333145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
95.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
920993TXMDRegistered Nurse
1134537TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Digestive Disease Center of Houston CurrentSince Sep 1, 2023 Accepting new patients
TMH Physician Associates PLLC CurrentSince Aug 5, 2024 Accepting new patients
TMH Physician Associates PLLC CurrentSince Aug 5, 2024 Accepting new patients
Houston Regional Gastroenterology Institute PLLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

21212 Northwest Fwy
Ste 425A
Cypress, TX 77429
Phone (832) 912-4481

21212 Northwest Fwy
#425A
Cypress, TX 77429
Phone (832) 912-4481

16537 Southwest Fwy
Ste 110
Sugar Land, TX 77479
Phone (281) 276-1960

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17937/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1648339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1154071637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28430 ASHER FALLS LN",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774411820",
            "telephone_number": "346-387-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16537 SOUTHWEST FWY STE 110",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774797239",
            "telephone_number": "281-276-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "TASHNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-27",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "920993",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1134537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.