Active NPI
Shermin S Momin
- Family Nurse Practitioner
- The Woodlands, TX
National Provider Identifier
1275112567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1048220
- Practice address
- 17350 St Lukes Way Ste 350
The Woodlands, TX 77384-4103 - Phone
- (281) 203-5115
- Fax
- (281) 203-5119
- NPI assigned
- Apr 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 907623 | TX | |
| Nurse Practitioner | 363L00000X | 1048220 | TX | |
| Family Nurse Practitioner | 363LF0000X | 1048220 | TX | Primary |
Addresses
Primary practice location
17350 St Lukes Way Ste 350
The Woodlands, TX 77384-4103
Mailing address
20114 Redwick CT
Spring, TX 77388-5569
Phone (832) 798-0584
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12345 | Other | NONE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.mdanderson.org |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 907623 | TX | MD | Registered Nurse |
| 1048220 | TX | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627862400000",
"number": "1275112567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20114 REDWICK CT",
"city": "SPRING",
"state": "TX",
"postal_code": "773885569",
"telephone_number": "832-798-0584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17350 ST LUKES WAY STE 350",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773844103",
"telephone_number": "281-203-5115",
"fax_number": "281-203-5119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOMIN",
"first_name": "SHERMIN",
"middle_name": "S",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-05",
"last_updated": "2021-08-02",
"certification_date": "2021-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "907623",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1048220",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1048220",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "12345",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.mdanderson.org",
"affiliation": "N",
"endpointDescription": "Home page",
"address_1": "1515 Holcombe Blvd",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770304000",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.