Individual provider Active NPI

Daneila Shantel Severns, PA-C

  • Physician Assistant
  • Kingwood, TX
National Provider Identifier
1750043386
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15031 Issued in TX
Practice address
22999 Hwy 59 N Ste 405
Kingwood, TX 77339-4441
Phone
(281) 571-7508
Fax
(281) 571-7512
NPI assigned
Oct 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA15031 TX
Physician Assistant 363A00000X PA15031 TX Primary

Addresses

Primary practice location

22999 Hwy 59 N Ste 405
Kingwood, TX 77339-4441

Mailing address

22999 Hwy 59 N Ste 405
Kingwood, TX 77339-4441
Phone (281) 571-7508

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
I20220107000518 TX Practitioner - Physician Assistant 1153712831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Associates of West Houston PLLCGroup PAC ID 6800056177, 125 clinicians

Practice addresses (Care Compare)

15200 Southwest Fwy
Suite 290
Sugar Land, TX 77478-3866
Phone (281) 980-2010

22999 Hwy 59 N
Humble, TX 77339-4412
Phone (281) 348-8000

22999 Hwy 59 N BLDG B
Suite 220
Kingwood, TX 77339-4412
Phone (281) 312-6457

Hospital & facility affiliations

  • HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro-Hospitalist of Clear Lake, PLLC CurrentSince Mar 11, 2025 Accepting new patients
Murtaza Mussaji, D.O., P.a. PastSince Oct 1, 2021 Accepting new patients
Murtaza Mussaji, D.O., P.a PastSince Oct 1, 2021 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

22999 Highway 59 N
Ste 405
Kingwood, TX 77339
Phone (281) 571-7508

Interoperability endpoints

  • Direct secure messaging: daneila.severns@hca9.eclinicaldirectplus.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1750043386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22999 HWY 59 N STE 405",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394441",
            "telephone_number": "281-571-7508",
            "fax_number": "281-571-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22999 HWY 59 N STE 405",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394441",
            "telephone_number": "281-571-7508",
            "fax_number": "281-571-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERNS",
        "first_name": "DANEILA",
        "middle_name": "SHANTEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA15031",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.