Active NPI
Carolyn E Shepherd
- Family Nurse Practitioner
- Sugar Land, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP145816
- Practice address
- 14141 Southwest Fwy Ste 500
Sugar Land, TX 77478-3494 - Phone
- (281) 356-0364
- NPI assigned
- Nov 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP145816 | TX | Primary |
Addresses
Primary practice location
14141 Southwest Fwy Ste 500
Sugar Land, TX 77478-3494
Mailing address
12000 Huebner Rd Ste 104
San Antonio, TX 78230-1209
Phone (346) 379-7041
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4500 Mercantile Plaza Dr
Suite 300
Fort Worth, TX 76137-4206
Phone (888) 402-0202
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP145816 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Partners Plus PLLC | Current | Accepting new patients | |
| Consonant Healing Associates of de LLC | Current | Accepting new patients | |
| Woundtech of Texas | Current | Accepting new patients |
Locations
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
1626 W Baker Rd
Baytown, TX 77521
Phone (281) 628-7300
2660 Brickyard Rd
Beaumont, TX 77703
Phone (406) 892-1533
12830 Hillcrest Rd
Ste 111
Dallas, TX 75230
Phone (972) 364-9011
2416 NW 18th St
Ft Worth, TX 76106
Phone (817) 626-5454
4500 Mercantile Plaza Dr
Ste 300
Ft Worth, TX 76137
Phone (469) 688-9501
10851 Crescent Moon Dr
Houston, TX 77064
Phone (281) 890-0171
12000 Huebner Rd
Ste 104
San Antonio, TX 78230
Phone (210) 561-2422
8223 Broadway
San Antonio, TX 78209
Phone (210) 828-0606
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- cshepherd@landmarkhealth-direct.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Infectious Disease Physician
- Baytown, TX
- NPI 1336538925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655251200000",
"number": "1780228841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12000 HUEBNER RD STE 104",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782301209",
"telephone_number": "346-379-7041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14141 SOUTHWEST FWY STE 500",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783494",
"telephone_number": "281-356-0364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPHERD",
"first_name": "CAROLYN",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-01",
"last_updated": "2022-06-15",
"certification_date": "2022-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP145816",
"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 Jun 15, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.