Active NPI
Shazreena S Furlough, PA-C
- Physician Assistant
- Jbsa Ft Sam Houston, TX
National Provider Identifier
1689910994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504 - Phone
- (210) 916-7500
- NPI assigned
- Dec 14, 2012
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504
Mailing address
3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504
Phone (210) 916-7500
Other practice location 1
4700 Las Vegas Blvd N
Nellis AFB, NV 89191
Phone (702) 653-2965
Other practice location 2
18th Medical Group, Unit 5142
Apo, AP 96368
Phone 011816117304504
Other practice location 3
4881 Sugar Maple Dr
Wright Patterson AFB, OH 45433-5529
Phone (937) 522-6998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210802003589 | OH | Order and Referring Only - Physician Assistant | 7911301791 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1689910994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "JBSA FT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "210-916-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "JBSA FT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "210-916-7500"
}
],
"practiceLocations": [
{
"address_1": "4700 Las Vegas Blvd N",
"address_purpose": "LOCATION",
"city": "Nellis AFB",
"state": "NV",
"postal_code": "89191",
"country_code": "US",
"telephone_number": "702-653-2965",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18th Medical Group, Unit 5142",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AP",
"postal_code": "96368",
"country_code": "US",
"telephone_number": "011816117304504",
"country_name": "United States",
"address_type": "MIL"
},
{
"address_1": "4881 Sugar Maple Dr",
"address_purpose": "LOCATION",
"city": "Wright Patterson AFB",
"state": "OH",
"postal_code": "454335529",
"country_code": "US",
"telephone_number": "937-522-6998",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FURLOUGH",
"first_name": "SHAZREENA",
"middle_name": "S",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-14",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jbsa Ft Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.