Active NPI
Jeremy Zeming Shi, B.S., M.P.H.
- Student in an Organized Health Care Education/Training Program
- Fort Worth, TX
National Provider Identifier
1275087686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- U1766
- Practice address
- 3900 White Settlement Rd Apt 48
Fort Worth, TX 76107-1129 - Phone
- (713) 518-6690
- NPI assigned
- Aug 15, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | U1766 | TX | Primary |
Addresses
Primary practice location
3900 White Settlement Rd Apt 48
Fort Worth, TX 76107-1129
Mailing address
3900 White Settlement Rd Apt 48
Fort Worth, TX 76107-1129
Phone (713) 518-6690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891234242 | Other | TX | BACHELOR OF SCIENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U1766 | TX | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709510400000",
"number": "1275087686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 WHITE SETTLEMENT RD APT 48",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761071129",
"telephone_number": "713-518-6690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 WHITE SETTLEMENT RD APT 48",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761071129",
"telephone_number": "713-518-6690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHI",
"first_name": "JEREMY",
"middle_name": "ZEMING",
"name_prefix": "Mr.",
"credential": "B.S., M.P.H.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-15",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "U1766",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACHELOR OF SCIENCE",
"identifier": "891234242",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.