Individual provider Active NPI

Anna Shelton

  • Surgical Assistant
  • Sugar Land, TX
National Provider Identifier
1710708458
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
204405 Issued in NV
Practice address
6544 Greatwood Pkwy Ste a
Sugar Land, TX 77479-6808
Phone
(832) 407-6033
NPI assigned
Oct 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 204405 NV Primary

Addresses

Primary practice location

6544 Greatwood Pkwy Ste a
Sugar Land, TX 77479-6808

Mailing address

6823 Radiant Heights St
North Las Vegas, NV 89086-1543

Other practice location 1

6823 Radiant Heights St
North Las Vegas, NV 89086-1543
Phone (702) 824-0152

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

LicenseStateTypeSpecialty
204405NVMDSurgical Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1710708458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6823 RADIANT HEIGHTS ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890861543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6544 GREATWOOD PKWY STE A",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796808",
            "telephone_number": "832-407-6033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6823 Radiant Heights St",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890861543",
            "country_code": "US",
            "telephone_number": "702-824-0152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "ANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "NV",
            "license": "204405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.