Individual provider Active NPI

Shonna Harris, FNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1477186823
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143634 Issued in TX
Practice address
3500 Little York Rd Ste A5
Houston, TX 77093-3658
Phone
(281) 707-7358
NPI assigned
Feb 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AP143634 TX
Family Nurse Practitioner 363LF0000X AP143634 TX Primary

Addresses

Primary practice location

3500 Little York Rd Ste A5
Houston, TX 77093-3658

Mailing address

4315 Esmond Dr Apt 1510
Odessa, TX 79762-4658
Phone (940) 642-9626

Other practice location 1

813 E 4th St
Monahans, TX 79756-4015
Phone (432) 943-2068

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
I20200309002109 TX Practitioner - Nurse Practitioner 8729416508 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health of Texas PLLCGroup PAC ID 2163843038, 103 clinicians

Practice addresses (Care Compare)

3500 Little York Rd
A 5
Houston, TX 77093-3658
Phone (281) 707-7358

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP143634TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health of Texas, PLLC Family Medicine CurrentSince Dec 11, 2023 Accepting new patients
County of Ward Current Accepting new patients
County of Ward CurrentSince Feb 1, 2020 Accepting new patients
County of Ward Current Accepting new patients
County of Ward CurrentSince Feb 1, 2020 Accepting new patients

Locations

2360 Gus Thomasson Rd
Dallas, TX 75228
Phone (314) 301-7071

4115 E Lancaster Ave
Fort Worth, TX 76103
Phone (817) 796-7370

3500 Little York Rd
#A5
Houston, TX 77093
Phone (281) 707-7358

921 E 4th St
Monahans, TX 79756
Phone (432) 923-7052

813 E 4th St
Monahans, TX 79756
Phone (432) 943-2068

406 S Gary Ave
Monahans, TX 79756
Phone (432) 943-2511

2115 S Broadway Ave
Tyler, TX 75701
Phone (903) 907-7002

Organizations & group practices 5

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.

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": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1477186823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 ESMOND DR APT 1510",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797624658",
            "telephone_number": "940-642-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 LITTLE YORK RD STE A5",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770933658",
            "telephone_number": "281-707-7358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "813 E 4th St",
            "address_purpose": "LOCATION",
            "city": "Monahans",
            "state": "TX",
            "postal_code": "797564015",
            "country_code": "US",
            "telephone_number": "432-943-2068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SHONNA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP143634",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.