Individual provider Active NPI

Yeshimebet Ayalew Meshesha, FNP

  • Family Nurse Practitioner
  • Pasadena, TX
National Provider Identifier
1356853220
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134816 Issued in TX
Practice address
3333 Bayshore Blvd Ste 310
Pasadena, TX 77504-1950
Phone
(713) 589-7058
Fax
(866) 215-1550
NPI assigned
Oct 31, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 AP134816 TX Primary

Addresses

Primary practice location

3333 Bayshore Blvd Ste 310
Pasadena, TX 77504-1950

Mailing address

3333 Bayshore Blvd Ste 310
Pasadena, TX 77504-1950
Phone (713) 589-7058

Other practice location 1

1900 North Loop W Ste 580
Houston, TX 77018-8163
Phone (713) 589-7058

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
I20220301002914 TX Practitioner - Nurse Practitioner 7719371145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

8810 Antoine Dr
Houston, TX 77088-1626
Phone (346) 398-7181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP134816TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Village Family Practice, L.L.P CurrentSince Mar 21, 2022 Accepting new patients
Villagemd of Southeast Texas, PA CurrentSince Mar 21, 2022 Accepting new patients

Locations

8810 Antoine Dr
Houston, TX 77088
Phone (346) 398-7181

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

6122 Broadway St
#100
Pearland, TX 77581
Phone (346) 398-7252

Interoperability endpoints

  • Direct secure messaging: yeshimebet.meshesha.1@13711.direct.athenahealth.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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1356853220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BAYSHORE BLVD STE 310",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041950",
            "telephone_number": "713-589-7058",
            "fax_number": "713-589-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BAYSHORE BLVD STE 310",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041950",
            "telephone_number": "713-589-7058",
            "fax_number": "866-215-1550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 North Loop W Ste 580",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770188163",
            "country_code": "US",
            "telephone_number": "713-589-7058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MESHESHA",
        "first_name": "YESHIMEBET",
        "middle_name": "AYALEW",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-31",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.