Individual provider Active NPI

Sharika L Driscoll

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1629611561
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1015370 Issued in TX
Practice address
2411 Shady Brook Dr
Houston, TX 77084-5241
Phone
(313) 454-8936
NPI assigned
Oct 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1015370 TX Primary

Addresses

Primary practice location

2411 Shady Brook Dr
Houston, TX 77084-5241

Mailing address

2411 Shady Brook Dr
Houston, TX 77084-5241
Phone (313) 454-8936

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
I20211207000101 TX Practitioner - Nurse Practitioner 5496183188 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ondemand Healthcare, PLLCGroup PAC ID 5597181230, 5 clinicians

Practice addresses (Care Compare)

Houston, TX 77056
Phone (832) 990-0549

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kinghaven Counseling Group Inc CurrentSince Sep 30, 2024 Accepting new patients
Ondemand Healthcare, PLLC CurrentSince Nov 1, 2025 Accepting new patients
Advance Pharmacy LLC Past Accepting new patients

Locations

2200 Post Oak Blvd
Ste 1000
Houston, TX 77056
Phone (832) 990-0549

6315 Gulfton St
Ste 100
Houston, TX 77081
Phone (713) 457-4357

Organizations & group practices 3

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": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1629611561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 SHADY BROOK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845241",
            "telephone_number": "313-454-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 SHADY BROOK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845241",
            "telephone_number": "313-454-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRISCOLL",
        "first_name": "SHARIKA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1015370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.