Individual provider Active NPI

Shajjia Ahmed, FNP

  • Family Nurse Practitioner
  • Belton, TX
National Provider Identifier
1164027579
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1020474 Issued in TX
Practice address
1001 Arbor Park Dr
Belton, TX 76513-8196
Phone
(254) 933-4100
Fax
(254) 831-2020
NPI assigned
Dec 2, 2020
Last updated
Jul 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1020474 TX
Family Nurse Practitioner 363LF0000X 1020474 TX Primary

Addresses

Primary practice location

1001 Arbor Park Dr
Belton, TX 76513-8196

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-2111

Other practice location 1

1815 S 31st St
Temple, TX 76504-6728
Phone (254) 724-3937

Other practice location 2

50 Hillcrest Medical Blvd Ste 201
Waco, TX 76712-8954
Phone (254) 202-0550

Other practice location 3

3221 Red River St
Austin, TX 78705-2612
Phone (281) 783-8162

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
I20201211000883 TX Practitioner - Nurse Practitioner 1951713130 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nluc PLLCGroup PAC ID 3072752302, 219 clinicians
Doctors Express of the Temple Area, PAGroup PAC ID 9931236171, 7 clinicians
Doctors Express of the Beaumont Area PAGroup PAC ID 5698816882, 211 clinicians

Practice addresses (Care Compare)

1246 N FM 3083 Rd W
Suite B
Conroe, TX 77304-5340
Phone (281) 783-8162

16312 Southwest Fwy
Sugar Land, TX 77479-2371
Phone (281) 783-8162

3200 Greenlawn Blvd
Suite 160
Round Rock, TX 78664-7591
Phone (281) 783-8162

3221 Red River St
Austin, TX 78705-2612
Phone (281) 783-8162

3614 SW H K Dodgen Loop
Suite F
Temple, TX 76504-6806
Phone (254) 295-0117

3725 N Lakeline Blvd
Suite C
Leander, TX 78641-5354
Phone (281) 783-8162

8100 Hwy 6 N
Suite E
Houston, TX 77095-1923
Phone (281) 783-8162

8831 N Hwy 146
Baytown, TX 77523-7078
Phone (281) 533-8354

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1020474TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nluc PLLC CurrentSince Aug 1, 2022 Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince Aug 23, 2021 Accepting new patients
Inpatient Physician Associates PLLC CurrentSince Jul 12, 2021 Accepting new patients
Nluc PLLC CurrentSince Aug 1, 2022 Accepting new patients
Nluc PLLC Current Accepting new patients
Doctors Express of the Temple Area, PA CurrentSince Mar 17, 2025 Accepting new patients
Doctors Express of the Beaumont Area PA CurrentSince Apr 11, 2024 Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince Aug 23, 2021 Accepting new patients
Southlake Doctors Express, PA PSC Current Accepting new patients

Locations

596 E Stacy Rd
Allen, TX 75002
Phone (469) 898-0199

3221 Red River St
Austin, TX 78705

6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627

6600 S Mopac Expy
Ste 2180
Austin, TX 78749
Phone (512) 522-3010

8831 N Highway 146
Baytown, TX 77523
Phone (281) 533-8354

3195 Dowlen Rd
Ste 105
Beaumont, TX 77706
Phone (409) 860-1888

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

6901 Snider Plz
Ste 130
Dallas, TX 75205
Phone (972) 381-6690

6340 N Eldridge Pkwy
Ste O
Houston, TX 77041
Phone (346) 385-9181

225 N Sowers Rd
Irving, TX 75061
Phone (972) 253-4173

6445 FM 1463 Rd
Ste 230
Katy, TX 77494
Phone (281) 990-6890

1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330

8850 Spencer Hwy
La Porte, TX 77571
Phone (281) 946-9980

1921 W League City Pkwy
Ste 130
League City, TX 77573
Phone (281) 937-2590

1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100

4724 Lakeview Pkwy
Ste 300
Rowlett, TX 75088
Phone (469) 947-6240

2315 E Southlake Blvd
Ste 110
Southlake, TX 76092
Phone (817) 488-9922

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

3614 SW H K Dodgen Loop
Ste F
Temple, TX 76504
Phone (254) 295-0117

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1164027579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "254-724-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 ARBOR PARK DR",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765138196",
            "telephone_number": "254-933-4100",
            "fax_number": "254-831-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1815 S 31st St",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765046728",
            "country_code": "US",
            "telephone_number": "254-724-3937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Hillcrest Medical Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767128954",
            "country_code": "US",
            "telephone_number": "254-202-0550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3221 Red River St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787052612",
            "country_code": "US",
            "telephone_number": "281-783-8162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMED",
        "first_name": "SHAJJIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1020474",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1020474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, TX

Sources for this page

Verify at the official NPI Registry.