Individual provider Active NPI

Shelly L. Huckaby, RN, FNP

  • Family Nurse Practitioner
  • Magnolia, TX
National Provider Identifier
1245256262
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP114965 Issued in TX
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

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
328218809MedicaidTX

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
I20091210000096 TX Practitioner - Nurse Practitioner 7810036506 Reassigns benefits to 1 organization

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
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians

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 Hospital, Houston, TX, CCN 450844
  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122
  • Houston Methodist Cypress Hospital Hospital, Cypress, TX, CCN 670342
  • HCA Houston Healthcare Tomball Hospital, Tomball, TX, CCN 450670

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP114965TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Mar 4, 2019 Accepting new patients
TMH Physician Associates PLLC CurrentSince Mar 4, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.