Individual provider Active NPI

Shirl Felder, FNP-BC

  • Family Nurse Practitioner
  • Hammond, LA
National Provider Identifier
1326372087
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
560714 Issued in TX
Practice address
1801 C M Fagan Dr Ste 2
Hammond, LA 70403-5849
Phone
(985) 271-4823
Fax
(281) 208-2225
NPI assigned
Sep 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 560714 TX Primary

Addresses

Primary practice location

1801 C M Fagan Dr Ste 2
Hammond, LA 70403-5849

Mailing address

22450 Balmoral Dr
Denham Springs, LA 70726-8828
Phone (985) 271-4823

Other identifiers 1

IdentifierTypeStateIssuer
310082805MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shirl@gracefamilyclinictx.com Direct

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
I20091027000223 TX Practitioner - Nurse Practitioner 1254478183 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2435 Texas Pkwy
Suite K
Missouri City, TX 77489-4061
Phone (281) 208-2220

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalcare Health Services PC CurrentSince Jul 1, 2025 Accepting new patients
CTD Network LLC CurrentSince May 28, 2025 Accepting new patients
Grace Family Clinic, L.L.C. CurrentSince Sep 1, 2017 Accepting new patients

Locations

163 Parkhouse St
#1031
Dallas, TX 75207

207 E Parkerville Rd
Desoto, TX 75115
Phone (385) 454-5027

2435 Texas Pkwy
Ste K
Missouri City, TX 77489
Phone (281) 208-2220

3742 W 2150 N
Ste 150
Lehi, UT 84048
Phone (385) 205-6486

Organizations & group practices 3

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": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1326372087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22450 BALMORAL DR",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707268828",
            "telephone_number": "985-271-4823",
            "fax_number": "281-208-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 C M FAGAN DR STE 2",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035849",
            "telephone_number": "985-271-4823",
            "fax_number": "281-208-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDER",
        "first_name": "SHIRL",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "560714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310082805",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shirl@gracefamilyclinictx.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1801 C M Fagan Dr Ste 2",
            "city": "Hammond",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704035849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.