Individual provider Active NPI

Kelli Sheffield, FNP

  • Family Nurse Practitioner
  • Bridge City, TX
National Provider Identifier
1174087381
Registry record updated Sep 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140271 Issued in TX
Practice address
1650 Texas Ave
Bridge City, TX 77611-3538
Phone
(409) 792-5521
NPI assigned
Jan 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP140271 TX Primary

Addresses

Primary practice location

1650 Texas Ave
Bridge City, TX 77611-3538

Mailing address

1650 Texas Ave
Bridge City, TX 77611-3538
Phone (409) 549-1325

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
I20211213001860 TX Practitioner - Nurse Practitioner 8426448127 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP140271TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Medical Center of Nederland PA CurrentSince Jan 9, 2025 Accepting new patients
Hybrid Primary Care PC CurrentSince Aug 1, 2025 Accepting new patients

Locations

2219 Texas Ave
Bridge City, TX 77611
Phone (409) 247-6689

13410 Briar Forest Dr
Ste 190
Houston, TX 77077
Phone (281) 670-2302

7777 Southwest Fwy
Ste 934
Houston, TX 77074
Phone (346) 556-1185

3411 Spurlock Rd
Nederland, TX 77627
Phone (409) 724-2321

2100 Highway 365
Nederland, TX 77627
Phone (409) 724-2321

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": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569024000000",
    "number": "1174087381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 TEXAS AVE",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "776113538",
            "telephone_number": "409-549-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 TEXAS AVE",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "776113538",
            "telephone_number": "409-792-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEFFIELD",
        "first_name": "KELLI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridge City, TX

Sources for this page

Verify at the official NPI Registry.