Active NPI
Shakira Wilson
- Community Health Worker
- Houston, TX
National Provider Identifier
1609481795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 9762
- Practice address
- 3611 Ennis St
Houston, TX 77004-4407 - Phone
- (832) 393-4062
- Fax
- (832) 393-4068
- NPI assigned
- Sep 15, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 9762 | TX | Primary |
Addresses
Primary practice location
3611 Ennis St
Houston, TX 77004-4407
Mailing address
1255 N Post Oak Rd Apt 2202
Houston, TX 77055-7336
Phone (832) 836-1748
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shakira.wilson@houstontx.gov | Direct |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9762 | TX | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600128000000",
"number": "1609481795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 N POST OAK RD APT 2202",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770557336",
"telephone_number": "832-836-1748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3611 ENNIS ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770044407",
"telephone_number": "832-393-4062",
"fax_number": "832-393-4068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "SHAKIRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-15",
"last_updated": "2020-09-15",
"certification_date": "2020-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "TX",
"license": "9762",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shakira.wilson@houstontx.gov",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "secure work email",
"address_1": "3611 Ennis St",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770044407",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.