Individual provider Active NPI

Shannon Irene Brow, DNP , APRN, FNP-C

  • Nurse Practitioner
  • Houston, TX
National Provider Identifier
1558540930
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP113537 Issued in TX
Practice address
509 W Tidwell Rd Ste 200
Houston, TX 77091-4356
Phone
(713) 691-7490
Fax
(713) 691-0079
NPI assigned
Nov 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 613135 TX
General Practice Registered Nurse 163WG0000X 613135 TX
Nurse Practitioner 363L00000X AP113537 TX Primary

Addresses

Primary practice location

509 W Tidwell Rd Ste 200
Houston, TX 77091-4356

Mailing address

509 W Tidwell Rd Ste 200
Houston, TX 77091-4356
Phone (713) 691-7490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP113537TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Airline Complete Healthcare of Texas, LTD,LLP Current Accepting new patients

Locations

509 W Tidwell Rd
Ste 200
Houston, TX 77091
Phone (713) 691-7490

7333 North Fwy
Ste 430
Houston, TX 77076
Phone (713) 691-7490

Organizations & group practices 1

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": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1558540930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 W TIDWELL RD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770914356",
            "telephone_number": "713-691-7490",
            "fax_number": "713-691-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W TIDWELL RD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770914356",
            "telephone_number": "713-691-7490",
            "fax_number": "713-691-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROW",
        "first_name": "SHANNON",
        "middle_name": "IRENE",
        "name_prefix": "Ms.",
        "credential": "DNP , APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "613135",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TX",
            "license": "613135",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP113537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.