Individual provider Active NPI

Shawna Renee Ivins, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1770051385
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139258 Issued in TX
Practice address
7900 Fannin St Ste 2600
Houston, TX 77054-2945
Phone
(713) 791-9700
NPI assigned
Nov 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 729278 TX
Family Nurse Practitioner 363LF0000X AP139258 TX Primary

Addresses

Primary practice location

7900 Fannin St Ste 2600
Houston, TX 77054-2945

Mailing address

2710 St Elmos Fire
Deer Park, TX 77536-4779
Phone (713) 922-5843

Other practice location 1

1111 S Friendswood Dr Ste 105
Friendswood, TX 77546-5493
Phone (832) 569-4390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
729278TXMDRegistered Nurse
AP139258TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrix Medical Group of Texas Billing, Inc. CurrentSince Feb 25, 2021 Accepting new patients
Pediatrix Medical Group of Texas Billing, Inc. Past Accepting new patients
Meridian Physicians Consulting, PLLC PastSince Jul 25, 2015 Accepting new patients
Magella Medical Associates Billing, Inc. PastSince Feb 25, 2021 Accepting new patients

Locations

1325 Pennsylvania Ave
Ste 600
Ft Worth, TX 76104
Phone (817) 878-5298

5757 Woodway Dr
Ste 275
Houston, TX 77057
Phone (713) 791-9100

7400 Fannin St
Ste 720
Houston, TX 77054
Phone (281) 601-4066

7900 Fannin St
Ste 2600
Houston, TX 77054
Phone (713) 791-9700

7900 Fannin St
Ste 4400
Houston, TX 77054
Phone (713) 512-7900

23530 Kingsland Blvd
Ste 204
Katy, TX 77494
Phone (281) 419-4600

9180 Pinecroft Dr
Ste 300
Shenandoah, TX 77380
Phone (281) 419-4600

12603 Southwest Fwy
Ste 315
Stafford, TX 77477
Phone (346) 245-5186

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11714/brand/1/csg/1/fhir/r4

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": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1770051385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 ST ELMOS FIRE",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "775364779",
            "telephone_number": "713-922-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 FANNIN ST STE 2600",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542945",
            "telephone_number": "713-791-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 S Friendswood Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Friendswood",
            "state": "TX",
            "postal_code": "775465493",
            "country_code": "US",
            "telephone_number": "832-569-4390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IVINS",
        "first_name": "SHAWNA",
        "middle_name": "RENEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "729278",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.