Individual provider Active NPI

Tocurra A' Shunita Wong, APRN

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1790338051
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142259 Issued in TX
Practice address
363 N Sam Houston Pkwy E Ste 1100
Houston, TX 77060-2413
Phone
(832) 356-9460
NPI assigned
Jul 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP142259 TX Primary
Registered Nurse 163W00000X 851895 TX

Addresses

Primary practice location

363 N Sam Houston Pkwy E Ste 1100
Houston, TX 77060-2413

Mailing address

363 N Sam Houston Pkwy E Ste 1100
Houston, TX 77060-2413
Phone (832) 356-9460

Other practice location 1

6243 Fairmont Pkwy Ste 104
Pasadena, TX 77505-4046
Phone (713) 585-6347

Other identifiers 2

IdentifierTypeStateIssuer
851895OtherTXTEXAS BOARD OF NURSING REGISTERED NURSE
AP142259OtherTXADVANCE PRACTICE REGISTERED NURSE

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
I20211025003047 TX Practitioner - Nurse Practitioner 2163810102 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
851895TXMDRegistered Nurse
AP142259TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services of Texas PLLC Family CurrentSince May 23, 2024 Accepting new patients

Locations

5410 Maryland Way
Ste 400
Brentwood, TN 37027

708 Main St
Fl 10
Houston, TX 77002
Phone (832) 584-1436

Interoperability endpoints

  • Direct secure messaging: tocurra.wong.1@22854.direct.athenahealth.com

Organizations & group practices 1

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": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1790338051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 N SAM HOUSTON PKWY E STE 1100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770602413",
            "telephone_number": "832-356-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 N SAM HOUSTON PKWY E STE 1100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770602413",
            "telephone_number": "832-356-9460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6243 Fairmont Pkwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775054046",
            "country_code": "US",
            "telephone_number": "713-585-6347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "TOCURRA",
        "middle_name": "A' SHUNITA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142259",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "851895",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING REGISTERED NURSE",
            "identifier": "851895",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCE PRACTICE REGISTERED NURSE",
            "identifier": "AP142259",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.