Individual provider Active NPI

Shyra Leigh Richards, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Allen, TX
National Provider Identifier
1649040528
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1176240 Issued in TX
Practice address
1772 W McDermott Dr
Allen, TX 75013-3342
Phone
(469) 340-2777
NPI assigned
Jan 3, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1176240 TX Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024188996 VA

Addresses

Primary practice location

1772 W McDermott Dr
Allen, TX 75013-3342

Mailing address

1772 W McDermott Dr
Allen, TX 75013-3342
Phone (469) 340-2777

Other practice location 1

1774 W McDermott Dr Ste 150
Allen, TX 75013-3424
Phone (469) 340-2777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20250723003200 DC Practitioner - Nurse Practitioner 3476069659 Reassigns benefits to 1 organization
I20260625003256 TX Practitioner - Nurse Practitioner 3476069659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Moonshot Psychiatric Nurse Practitioner PCGroup PAC ID 9335589696, 79 clinicians

Practice addresses (Care Compare)

1915 Kalorama Rd NW
Apt 305
Washington, DC 20009-1485
Phone (201) 748-2806

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024188996VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avesta Mental Health Psychiatric/Mental Health CurrentSince Mar 3, 2024 Accepting new patients
Shahla Ali MD PA CurrentSince Jun 12, 2026 Accepting new patients
Shahla Ali MD PA CurrentSince Jun 12, 2026 Accepting new patients
Moonshot Psychiatric Nurse Practitioner PC Psychiatric/Mental Health CurrentSince May 12, 2025 Accepting new patients

Locations

1400 16th St NW
Ste 101
Washington, DC 20036
Phone (202) 410-5123

4833 Rugby Ave
Ste 400
Bethesda, MD 20814
Phone (301) 200-9333

1774 W McDermott Dr
Ste 150
Allen, TX 75013
Phone (469) 340-2777

6861 Elm St
Ste 3E
Mc Lean, VA 22101
Phone (301) 381-8381

Organizations & group practices 4

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": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1649040528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1772 W MCDERMOTT DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133342",
            "telephone_number": "469-340-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1772 W MCDERMOTT DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133342",
            "telephone_number": "469-340-2777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1774 W McDermott Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750133424",
            "country_code": "US",
            "telephone_number": "469-340-2777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "SHYRA",
        "middle_name": "LEIGH",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1176240",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024188996",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.