Individual provider Active NPI

Shaliah Janae Howard, WHNP

  • Women's Health Nurse Practitioner
  • Seguin, TX
National Provider Identifier
1851120273
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
1169570 Issued in TX
Practice address
417 S King St
Seguin, TX 78155-5838
Phone
(830) 372-2791
Fax
(830) 386-0241
NPI assigned
Aug 1, 2024
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 1169570 TX Primary

Addresses

Primary practice location

417 S King St
Seguin, TX 78155-5838

Mailing address

1215 E Court St
Seguin, TX 78155-5129
Phone (830) 401-7558

Other names 1

  • Shaliah Janae Wright Former name

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
I20240926003401 TX Practitioner - Nurse Practitioner 6901337294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guadalupe Regional Medical GroupGroup PAC ID 6800077694, 38 clinicians

Practice addresses (Care Compare)

417 S King St
Seguin, TX 78155-5838
Phone (830) 484-4600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1169570TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Guadalupe Regional Medical Group CurrentSince Sep 1, 2024 Accepting new patients
Guadalupe Regional Medical Group CurrentSince Sep 1, 2024 Accepting new patients
Guadalupe County Hospital Board Past Accepting new patients

Locations

1215 E Court St
Seguin, TX 78155
Phone (830) 379-2411

417 S King St
Seguin, TX 78155
Phone (830) 484-4600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27064/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 3

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": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1851120273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 E COURT ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555129",
            "telephone_number": "830-401-7558",
            "fax_number": "830-401-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 S KING ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555838",
            "telephone_number": "830-372-2791",
            "fax_number": "830-386-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "SHALIAH",
        "middle_name": "JANAE",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "1169570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHALIAH",
            "last_name": "WRIGHT",
            "middle_name": "JANAE",
            "credential": "WHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seguin, TX

Sources for this page

Verify at the official NPI Registry.