Individual provider Active NPI

Shreda Paire, ARNP, FNP-C, ACHPN

  • Nurse Practitioner
  • Houston, TX
National Provider Identifier
1194818591
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP113255 Issued in TX
Practice address
915 W 41St St
Houston, TX 77018-5301
Phone
(713) 530-0697
NPI assigned
Sep 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 620566 TX
Nurse Practitioner 363L00000X AP113255 TX Primary

Addresses

Primary practice location

915 W 41St St
Houston, TX 77018-5301

Mailing address

915 W 41St St
Houston, TX 77018-5301
Phone (713) 530-0697

Other identifiers 1

IdentifierTypeStateIssuer
8Y9623OtherBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP113255TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince Jul 19, 2024 Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 19, 2024 Accepting new patients
TMH Physician Associates PLLC CurrentSince Mar 28, 2021 Accepting new patients
TMH Physician Associates PLLC CurrentSince Mar 28, 2021 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Kelsey-Seybold Medical Group, PLLC CurrentSince Jun 25, 2015 Accepting new patients

Locations

4401 Garth Rd
Baytown, TX 77521
Phone (281) 420-8500

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

1515 Holcombe Blvd
Houston, TX 77030
Phone (713) 794-5446

8588 Katy Fwy
Ste 226A
Houston, TX 77024
Phone (713) 532-6884

1515 Holcombe Blvd
#R4212
Houston, TX 77030
Phone (713) 794-5446

2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

5414 Fredericksburg Rd
Ste 100A
San Antonio, TX 78229
Phone (210) 468-0800

Organizations & group practices 6

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": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1194818591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 W 41ST ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770185301",
            "telephone_number": "713-530-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W 41ST ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770185301",
            "telephone_number": "713-530-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIRE",
        "first_name": "SHREDA",
        "credential": "ARNP, FNP-C, ACHPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-30",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "620566",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP113255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8Y9623",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.