Individual provider Active NPI

Casey Shari Contreras, CPNP-AC

  • Critical Care Pediatric Nurse Practitioner
  • Houston, TX
National Provider Identifier
1497495550
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Pediatric Nurse PractitionerTaxonomy code 363LP0222X
License
1074406 Issued in TX
Practice address
7400 Fannin St Ste 770
Houston, TX 77054-1970
Phone
(713) 463-5668
NPI assigned
Mar 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X 801901 TX
Nurse Practitioner 363L00000X 801901 TX
Critical Care Pediatric Nurse Practitioner 363LP0222X 1074406 TX Primary
Registered Nurse 163W00000X 801901 TX
Critical Care Medicine Registered Nurse 163WC0200X 801901 TX
Emergency Registered Nurse 163WE0003X 801901 TX
Flight Registered Nurse 163WF0300X 801901 TX

Addresses

Primary practice location

7400 Fannin St Ste 770
Houston, TX 77054-1970

Mailing address

3622 Glenwood Springs Dr
Kingwood, TX 77345-1170
Phone (832) 367-2810

Other identifiers 1

IdentifierTypeStateIssuer
1074406OtherTXTEXAS BOARD OF NURSING

Other names 1

  • Casey Shari Allen Former name

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
I20220513001250 TX Practitioner - Nurse Practitioner 7214314269 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
801901TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Magella Medical Associates Billing, Inc. CurrentSince May 18, 2022 Accepting new patients
Emergency Medicine Services of TX, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Goodside Health Medical, PLLC Nurse Practitioner Past Accepting new patients
Goodside Health Medical, PLLC Nurse Practitioner Past Accepting new patients

Locations

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

815 Market St
Galveston, TX 77550
Phone (409) 770-6600

6191 E Sam Houston Pkwy N
#B
Houston, TX 77049
Phone (713) 295-5300

7400 Fannin St
Ste 770
Houston, TX 77054
Phone (713) 463-5668

11777 FM 1960 Rd W
Houston, TX 77065
Phone (832) 828-3501

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

Organizations & group practices 4

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": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1497495550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3622 GLENWOOD SPRINGS DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773451170",
            "telephone_number": "832-367-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 FANNIN ST STE 770",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541970",
            "telephone_number": "713-463-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "CASEY",
        "middle_name": "SHARI",
        "credential": "CPNP-AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "801901",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "801901",
            "primary": false
        },
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "TX",
            "license": "1074406",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "801901",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "TX",
            "license": "801901",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "TX",
            "license": "801901",
            "primary": false
        },
        {
            "code": "163WF0300X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Flight",
            "state": "TX",
            "license": "801901",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "1074406",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASEY",
            "last_name": "ALLEN",
            "middle_name": "SHARI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.