Shylisa Hicks, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1088788 Issued in TX

Practice address

20403 FM 529 Rd Ste 200
Cypress, TX 77433-5379

Phone

(281) 656-4041

NPI assigned

Oct 23, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Legacy Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1679524961

  Pediatrics

  Medicare reassignment NPD
• Spring Branch Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1235141409
  Medicare reassignment NPD
• Topcare Medical Group Inc

  • Specialist
  • Dallas, TX
  • NPI 1730337163
  Medicare reassignment NPD
• Legacy Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Pasadena, TX
  • NPI 1609762889
  NPD
• Spring Branch Community Health Center

  • Community/Retail Pharmacy
  • Katy, TX
  • NPI 1003628140
  NPD
• Spring Branch Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1558688135

  Pediatrics

  NPD
• Topcare Medical PA

  • Specialist
  • Irving, TX
  • NPI 1043231400
  NPD (past)

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705104000000",
    "number": "1154964930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20403 FM 529 RD STE 200",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335379",
            "telephone_number": "281-656-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20403 FM 529 RD STE 200",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335379",
            "telephone_number": "281-656-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "SHYLISA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2024-01-13",
        "certification_date": "2024-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "TX",
            "license": "929193",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "1088788",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1088788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Herrington
• James Nathen Herrmann, PT
• Sydney Hess
• Charricka Hewitt
• Walter Hickman, D.C.
• Hannah Kindsley Hide, PA-C
• Hieu T. Le, O.D., P.a.
• Gabriela Higdon, M.S. CCC-SLP
• Jeremy Higdon, DC
• Molly Sanders Higdon

• Pediatric Nurse Practitioner in Cypress, TX
• Providers in Cypress, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.