Individual provider Active NPI

Shayla Jordan, FNP

  • Family Nurse Practitioner
  • Spring, TX
National Provider Identifier
1699400010
Registry record updated May 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1077039 Issued in TX
Practice address
314 Sawdust Rd Ste 119
Spring, TX 77380-2345
Phone
(281) 292-3030
NPI assigned
Jul 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Family Nurse Practitioner 363LF0000X 1077039 TX Primary

Addresses

Primary practice location

314 Sawdust Rd Ste 119
Spring, TX 77380-2345

Mailing address

6700 Woodlands Pkwy # 230-161
Spring, TX 77382-2575
Phone (832) 236-7431

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
I20240927000103 TX Practitioner - Nurse Practitioner 0446781777 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic Service Providers, PA CurrentSince May 12, 2024 Accepting new patients
Dreamcatchers Therapy & Wellness Services, PLLC Case Manager/Care Coordinator CurrentSince Jul 1, 2024 Accepting new patients
Zmediclinic Providers, PA CurrentSince May 12, 2024 Accepting new patients

Locations

9701 N Sam Houston Pkwy E
Ste 120
Humble, TX 77396
Phone (281) 764-9500

314 Sawdust Rd
Ste 119
The Woodlands, TX 77380
Phone (281) 292-3030

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": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715385600000",
    "number": "1699400010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 WOODLANDS PKWY # 230-161",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773822575",
            "telephone_number": "832-236-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 SAWDUST RD STE 119",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773802345",
            "telephone_number": "281-292-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "SHAYLA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1077039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.