Individual provider Active NPI

Shannon Leigh Winn, MSN, ANP-BC

  • Adult Health Nurse Practitioner
  • Webster, TX
National Provider Identifier
1255570271
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1779 Issued in TX
Practice address
250 Blossom St
Suite 400
Webster, TX 77598-4204
Phone
(281) 604-1300
NPI assigned
Feb 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1779 TX Primary

Addresses

Primary practice location

250 Blossom St
Suite 400
Webster, TX 77598-4204

Mailing address

12400 Shadow Creek Pkwy Apt 807
Pearland, TX 77584-7352
Phone (910) 723-9046

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
I20170117000755 TX Practitioner - Nurse Practitioner 4789713884 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1779TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orsak Medical Association CurrentSince Jul 3, 2018 Accepting new patients
Utmb Faculty Group Practice Past Accepting new patients

Locations

300 E Edgewood Dr
Friendswood, TX 77546
Phone (281) 485-9034

Interoperability endpoints

  • Direct secure messaging: swinn@ffm-tx.direct.office.nextgen.com

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": "1234483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1255570271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 SHADOW CREEK PKWY APT 807",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847352",
            "telephone_number": "910-723-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BLOSSOM ST",
            "address_2": "SUITE 400",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984204",
            "telephone_number": "281-604-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINN",
        "first_name": "SHANNON",
        "middle_name": "LEIGH",
        "credential": "MSN, ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-13",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.