Individual provider Active NPI

Shameka Bolton, APRN

  • Acute Care Nurse Practitioner
  • Houston, TX
National Provider Identifier
1568700029
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP126551 Issued in TX
Practice address
6720 Bertner Ave
Houston, TX 77030-2604
Phone
(832) 355-1000
NPI assigned
Jan 17, 2013
Last updated
Apr 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP126551 TX Primary

Addresses

Primary practice location

6720 Bertner Ave
Houston, TX 77030-2604

Mailing address

6306 Sunrise Glen LN
Spring, TX 77379-2745
Phone (520) 965-5784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, WA, NY4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20141023000131 TX Practitioner - Nurse Practitioner 9032330675 Reassigns benefits to 2 organizations
I20200327002464 CA Practitioner - Nurse Practitioner 9032330675 Reassigns benefits to 1 organization
I20200624001977 WA Practitioner - Nurse Practitioner 9032330675 Reassigns benefits to 2 organizations
I20210429001065 NY Practitioner - Nurse Practitioner 9032330675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17511 Mill Springs Dr
Spring, TX 77379-4759

2 Greenway PLZ
Suite 900
Houston, TX 77046-0200

2000 Health Park Dr
Brentwood, TN 37027-4692

4100 International PLZ
Fort Worth, TX 76109-4800

4625 N Frwy
Suite 127
Houston, TX 77022-2906

4715 Viewridge Ave
Suite 230
San Diego, CA 92123-1680

8687 E Via de Ventura
Suite 310
Scottsdale, AZ 85258-3351

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP126551TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Services CurrentSince Mar 20, 2022 Accepting new patients
Providence Health & Services- Washington CurrentSince Jul 5, 2022 Accepting new patients
The Family Counseling Center of Fulton County Inc Psychiatric/Mental Health CurrentSince Mar 25, 2021 Accepting new patients
Providence Health & Services-Wa Nurse Practitioner CurrentSince Jul 5, 2022 Accepting new patients
Counseling Services for Wellbeing, Inc. CurrentSince Dec 1, 2020 Accepting new patients
Providence Health & Services-Washington CurrentSince Jul 5, 2022 Accepting new patients
Community Research Foundation Inc CurrentSince Sep 23, 2020 Accepting new patients
Nevada Cares Behavioral Health LLC PastSince Apr 16, 2023 Accepting new patients
State of Nevada Past Accepting new patients
Providence Health & Services-Wa Past Accepting new patients
State of Nevada Past Accepting new patients

Locations

855 Third Ave
Ste 1110
Chula Vista, CA 91911
Phone (619) 409-9119

1202 Morena Blvd
Ste 300
San Diego, CA 92110
Phone (619) 276-8112

1555 Parkmoor Ave
San Jose, CA 95128
Phone (408) 282-0402

11-21 Broadway St
Gloversville, NY 12078
Phone (518) 725-4310

15811 Ambaum Blvd SW
Ste 110
Burien, WA 98166
Phone (206) 242-8211

900 Pacific Ave
Fl 5
Everett, WA 98201
Phone (425) 258-7311

916 Pacific Ave
Everett, WA 98201
Phone (425) 258-7123

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

Interoperability endpoints

  • Direct secure messaging: sbolton2425567@wm.providencedirect.org

Organizations & group practices 14

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.

View all 14

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": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1568700029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6306 SUNRISE GLEN LN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773792745",
            "telephone_number": "520-965-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 BERTNER AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302604",
            "telephone_number": "832-355-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "SHAMEKA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-17",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP126551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.