Active NPI
Shawna Renee Ivins, FNP-C
- Family Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP139258
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 729278 | TX | MD | Registered Nurse |
| AP139258 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obstetrix Medical Group of Texas Billing, Inc. | Current | Accepting new patients | |
| Pediatrix Medical Group of Texas Billing, Inc. | Past | Accepting new patients | |
| Meridian Physicians Consulting, PLLC | Past | Accepting new patients | |
| Magella Medical Associates Billing, Inc. | Past | 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
- 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.
-
- Maternal & Fetal Medicine Physician
- Richardson, TX
- NPI 1568486264
-
- Neonatal-Perinatal Medicine Physician
- Round Rock, TX
- NPI 1083631071
-
- Urgent Care Clinic/Center
- Friendswood, TX
- NPI 1336529908
-
- Neonatal-Perinatal Medicine Physician
- Houston, TX
- NPI 1649377359
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.