Individual provider Active NPI

Shawn Marie Tippitt, WHNP-BC

  • Women's Health Nurse Practitioner
  • Webster, TX
National Provider Identifier
1316224405
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
678871 Issued in TX
Practice address
400 W Medical Center Blvd Ste 300
Webster, TX 77598-4402
Phone
(281) 557-0300
Fax
(281) 557-3301
NPI assigned
Nov 3, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 678871 TX Primary

Addresses

Primary practice location

400 W Medical Center Blvd Ste 300
Webster, TX 77598-4402

Mailing address

400 Medical Center Blvd
Suite 300
Webster, TX 77598
Phone (281) 557-0300

Other practice location 1

17 Professional Park Dr
Webster, TX 77598-4123
Phone (281) 332-9511

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
I20151218001413 TX Practitioner - Nurse Practitioner 6507167426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Women Specialists of Clear Lake PLLCGroup PAC ID 5799096632, 13 clinicians

Practice addresses (Care Compare)

400 W Medical Ctr Blvd
Suite 300
Webster, TX 77598-4402
Phone (281) 557-0300

500 W Medical Ctr Blvd
Webster, TX 77598-4220
Phone (281) 332-2511

502 W Medical Ctr Blvd
Webster, TX 77598-4220
Phone (281) 332-2433

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
678871TXMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Women Specialists of Clear Lake, PLLC CurrentSince Jun 30, 2015 Accepting new patients
Bay Area Obstetrics and Gynecology,PA Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

400 W Medical Center Blvd
Ste 300
Webster, TX 77598
Phone (281) 526-6840

500 W Medical Center Blvd
Spc Of
Webster, TX 77598
Phone (832) 331-1125

Interoperability endpoints

  • Direct secure messaging: shawnann.tippitt@hca9.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1316224405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MEDICAL CENTER BLVD",
            "address_2": "SUITE 300",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "77598",
            "telephone_number": "281-557-0300",
            "fax_number": "281-557-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MEDICAL CENTER BLVD STE 300",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984402",
            "telephone_number": "281-557-0300",
            "fax_number": "281-557-3301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Professional Park Dr",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984123",
            "country_code": "US",
            "telephone_number": "281-332-9511",
            "fax_number": "281-332-6685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIPPITT",
        "first_name": "SHAWN",
        "middle_name": "MARIE",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "678871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.