Individual provider Active NPI

Troy Shannon Peet

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1578636122
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
659439 Issued in TX
Practice address
18500 Katy Fwy
Houston, TX 77094
Phone
(832) 522-1000
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 659439 TX
Family Nurse Practitioner 363LF0000X 659439 TX Primary
Nurse Practitioner 363L00000X AP04261 LA
Hospitalist Physician 208M00000X 659439 TX

Addresses

Primary practice location

18500 Katy Fwy
Houston, TX 77094

Mailing address

4200 Scotland St.
#320
Houston, TX 77007-7479
Phone (832) 215-7312

Other identifiers 1

IdentifierTypeStateIssuer
1191094MedicaidLA

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
I20071121000473 TX Practitioner - Nurse Practitioner 8426040726 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hermann Urgent Care PLLCGroup PAC ID 4880071679, 115 clinicians

Practice addresses (Care Compare)

1911 Taylor St
Suite E
Houston, TX 77007-3991
Phone (346) 327-8553

20115 Bridgeland Creek Pkwy
Suite 201
Cypress, TX 77433-0810
Phone (346) 573-8918

30129 Rock Creek Dr
Suite 200
Kingwood, TX 77339-2868
Phone (346) 477-8144

4057 Riley Fuzzel Rd
Spring, TX 77386-4632
Phone (281) 602-0450

813 W Montgomery St
Suite 300
Willis, TX 77378-8683
Phone (936) 249-6271

9595 Six Pines Dr
Suite 1400
The Woodlands, TX 77380-1535
Phone (346) 478-1615

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP04261LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Urgent Care PLLC CurrentSince May 22, 2023 Accepting new patients
Travis County Emergency Physicians PA CurrentSince Jul 19, 2023 Accepting new patients
Acs Primary Care Physicians Southwest, PA Hospitalist CurrentSince Jun 18, 2007 Accepting new patients
Emergency Medicine Specialist, Apmc Past Accepting new patients
Woodlands Emergency Physicians, LLP Nurse Practitioner Past Accepting new patients

Locations

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

1505 E Winding Way Dr
Ste 112
Friendswood, TX 77546
Phone (281) 993-3860

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

18500 Katy Fwy
Houston, TX 77094
Phone (281) 206-9020

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

8200 Highway 6
Sienna Plantation, TX 77459
Phone (713) 441-3724

16655 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 274-7117

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

19419 Gulf Fwy
Ste 3
Webster, TX 77598
Phone (281) 316-0885

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AACHCD

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1578636122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 SCOTLAND ST.",
            "address_2": "#320",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770077479",
            "telephone_number": "832-215-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18500 KATY FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77094",
            "telephone_number": "832-522-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEET",
        "first_name": "TROY",
        "middle_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "659439",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "659439",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP04261",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "659439",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1191094",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.