Organization Active NPI

Green Island Health PLLC

Doing business as Green Island Health

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1154696169
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L5904 Issued in TX
Legal business name
GREEN ISLAND HEALTH PLLC
Doing business as
Green Island Health
Practice address
6450 Sumac Rd
Fort Worth, TX 76116-8131
Phone
(214) 557-8061
Fax
(817) 732-4939
NPI assigned
Mar 9, 2012
Last updated
Mar 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Authorized official

Name
Dr. Heather P Shelton, MD
Title
Physician Member
Phone
(214) 557-8061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L5904 TX Primary

Addresses

Primary practice location

6450 Sumac Rd
Fort Worth, TX 76116-8131

Mailing address

6450 Sumac Rd
Fort Worth, TX 76116-8131
Phone (214) 557-8061

Other names 1

  • Green Island Health Doing business as

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8180/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1154696169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 SUMAC RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761168131",
            "telephone_number": "214-557-8061",
            "fax_number": "817-732-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 SUMAC RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761168131",
            "telephone_number": "214-557-8061",
            "fax_number": "817-732-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN ISLAND HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN MEMBER",
        "authorized_official_telephone_number": "214-557-8061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L5904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Island Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.