Active NPI
Wilma Kay Shaw
- Case Management Agency
- Sugar Land, TX
National Provider Identifier
1306660352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Practice address
- 2410 Pheasant Creek Dr
Sugar Land, TX 77498-1965 - Phone
- (281) 743-5214
- NPI assigned
- Nov 14, 2024
- Last updated
- Nov 14, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
2410 Pheasant Creek Dr
Sugar Land, TX 77498-1965
Mailing address
2410 Pheasant Creek Dr
Sugar Land, TX 77498-1965
Phone (281) 743-5214
Other practice location 1
6701 Eastwood St
Houston, TX 77021-5019
Phone (346) 800-7114
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perfectly Wrapped Ministry | Case Management | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1306660352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 PHEASANT CREEK DR",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774981965",
"telephone_number": "281-743-5214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 PHEASANT CREEK DR",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774981965",
"telephone_number": "281-743-5214"
}
],
"practiceLocations": [
{
"address_1": "6701 Eastwood St",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770215019",
"country_code": "US",
"telephone_number": "346-800-7114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAW",
"first_name": "WILMA",
"middle_name": "KAY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-14",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.