Individual provider Active NPI

Sheila Merioles Teves, FNP-BC

  • Family Nurse Practitioner
  • Cypress, TX
National Provider Identifier
1437745692
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1021653 Issued in TX
Practice address
15423 Elm Square St
Cypress, TX 77429-5565
Phone
(713) 825-7002
Fax
(281) 746-2272
NPI assigned
Dec 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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 1021653 TX Primary

Addresses

Primary practice location

15423 Elm Square St
Cypress, TX 77429-5565

Mailing address

15423 Elm Square St
Cypress, TX 77429-5565
Phone (713) 825-7002

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
I20230911001040 TX Practitioner - Nurse Practitioner 3971967928 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1021653TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59 LLC Current Accepting new patients
KND Development 59, LLC CurrentSince May 24, 2023 Accepting new patients
KND Development 59 LLC CurrentSince May 24, 2023 Accepting new patients

Locations

6441 Main St
Houston, TX 77030
Phone (713) 790-0500

11297 Fallbrook Dr
Houston, TX 77065
Phone (281) 517-1000

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": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1437745692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15423 ELM SQUARE ST",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295565",
            "telephone_number": "713-825-7002",
            "fax_number": "281-746-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15423 ELM SQUARE ST",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295565",
            "telephone_number": "713-825-7002",
            "fax_number": "281-746-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEVES",
        "first_name": "SHEILA",
        "middle_name": "MERIOLES",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1021653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.