Individual provider Active NPI

Patti Shawn Hardesty, CNS

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Houston, TX
National Provider Identifier
1174835979
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
504702 Issued in TX
Practice address
5500 Guhn Rd
Suite 100
Houston, TX 77040-6161
Phone
(713) 783-8889
Fax
(713) 953-0471
NPI assigned
Jul 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 504702 TX Primary

Addresses

Primary practice location

5500 Guhn Rd
Suite 100
Houston, TX 77040-6161

Mailing address

5500 Guhn Rd
Suite 100
Houston, TX 77040-6161
Phone (713) 783-8889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20230824003598 IA Practitioner - Nurse Practitioner 6305020470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Encounter Telehealth IncGroup PAC ID 9931348307, 20 clinicians

Practice addresses (Care Compare)

1035 Lincoln Rd
Suite 209
Bettendorf, IA 52722-4149
Phone (844) 485-3041

Hospital & facility affiliations

  • Akron Care Center, INC Nursing home, Akron, IA, CCN 165595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Carter'S Counseling Services, PLC PastSince May 17, 2017 Accepting new patients
Tri-County Behavioral Healthcare PastSince Apr 11, 2017 Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1174835979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 GUHN RD",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406161",
            "telephone_number": "713-783-8889",
            "fax_number": "713-953-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 GUHN RD",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406161",
            "telephone_number": "713-783-8889",
            "fax_number": "713-953-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDESTY",
        "first_name": "PATTI",
        "middle_name": "SHAWN",
        "name_prefix": "Mrs.",
        "credential": "CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "TX",
            "license": "504702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.