Active NPI
Shelly L. Huckaby, RN, FNP
- Family Nurse Practitioner
- Magnolia, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP114965
- Practice address
- 18230 FM 1488 Rd Ste 200
Magnolia, TX 77354-4530 - Phone
- (936) 270-4800
- Fax
- (936) 270-4801
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 669836 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP114965 | TX | Primary |
Addresses
Primary practice location
18230 FM 1488 Rd Ste 200
Magnolia, TX 77354-4530
Mailing address
18230 FM 1488 Rd Ste 200
Magnolia, TX 77354-4530
Phone (936) 270-4800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 328218809 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16605 Southwest Fwy
Sugar Land, TX 77479-3500
Phone (281) 275-0800
16605 Southwest Fwy 400 Mob3
Methodist Family Medicine Group
Sugar Land, TX 77479-3500
Phone (281) 275-0800
16605 SW Fwy 410
Methodist Diag Card of Houston
Sugar Land, TX 77479-3500
Phone (281) 274-0148
18230 FM 1488 Rd
Suite 200
Magnolia, TX 77354-4530
Phone (713) 363-8584
Hospital & facility affiliations
- Houston Methodist Willowbrook Hospital
- Houston Methodist the Woodlands Hospital
- Houston Methodist Cypress Hospital
- HCA Houston Healthcare Tomball
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP114965 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMH Physician Associates PLLC | Current | Accepting new patients | |
| TMH Physician Associates PLLC | Current | Accepting new patients |
Locations
4710 Bellaire Blvd
Ste 175
Bellaire, TX 77401
Phone (346) 356-3060
7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955
6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633
18230 FM 1488 Rd
Ste 200
Magnolia, TX 77354
Phone (281) 356-2525
17189 Interstate 45 S
Ste 205
Shenandoah, TX 77385
Phone (936) 270-4100
16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800
Interoperability endpoints
- shuckaby225637@directhoustonmethodist.org
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.
-
- Ophthalmology Physician
- Houston, TX
- NPI 1275779225
-
- Orthopaedic Surgery Physician
- Spring, TX
- NPI 1043061351
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1184179194
-
- General Acute Care Hospital
- Cypress, TX
- NPI 1629828405
-
- General Acute Care Hospital
- Houston, TX
- NPI 1871619254
-
- General Acute Care Hospital
- Tomball, TX
- NPI 1750819025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693526400000",
"number": "1245256262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18230 FM 1488 RD STE 200",
"city": "MAGNOLIA",
"state": "TX",
"postal_code": "773544530",
"telephone_number": "936-270-4800",
"fax_number": "936-270-4801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18230 FM 1488 RD STE 200",
"city": "MAGNOLIA",
"state": "TX",
"postal_code": "773544530",
"telephone_number": "936-270-4800",
"fax_number": "936-270-4801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUCKABY",
"first_name": "SHELLY",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "RN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2023-09-01",
"certification_date": "2023-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "669836",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP114965",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "328218809",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Magnolia, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.