Individual provider Active NPI

Shobha Jagannath, NP

  • Family Nurse Practitioner
  • Tomball, TX
National Provider Identifier
1871036202
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP132630 Issued in TX
Practice address
14080C Farm to Market 2920 E
Tomball, TX 77377
Phone
(832) 843-7135
NPI assigned
Dec 3, 2016
Last updated
Jun 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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 CNP-03187 NM
Family Nurse Practitioner 363LF0000X AP132630 TX Primary

Addresses

Primary practice location

14080C Farm to Market 2920 E
Tomball, TX 77377

Mailing address

2723 Shadow Canyon LN
Katy, TX 77494-2390
Phone (713) 614-3097

Other practice location 1

10906 Farm to Market 1960 Rd W
Houston, TX 77070
Phone (281) 477-7490

Other practice location 2

10700 Academy Rd NE Apt 216
Albuquerque, NM 87111
Phone (713) 614-3097

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
I20200218002374 TX Practitioner - Nurse Practitioner 1951670181 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Carenow Urgent Care PLLCGroup PAC ID 7012291958, 113 clinicians

Practice addresses (Care Compare)

14080 FM 2920 Rd
Suite a
Tomball, TX 77377-5552
Phone (832) 843-7135

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP-03187NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Carenow Urgent Care PLLC CurrentSince Aug 1, 2023 Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince Jan 13, 2020 Accepting new patients
Texan Urgent Care PLLC CurrentSince Aug 1, 2023 Accepting new patients
Memorial Hermann Urgent Care PLLC CurrentSince Nov 1, 2023 Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince Jan 13, 2020 Accepting new patients
Lovelace Urgent Care, LLC CurrentSince Apr 1, 2025 Accepting new patients

Locations

8201 Golf Course Rd NW
Ste A3
Albuquerque, NM 87120
Phone (505) 800-7070

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627

1505 E Winding Way Dr
Ste 112
Friendswood, TX 77546
Phone (281) 993-3860

10906 FM 1960 Rd W
Houston, TX 77070
Phone (281) 477-7490

1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330

300 Northpark Dr
Kingwood, TX 77339
Phone (281) 310-8445

10422 Research Forest Dr
Magnolia, TX 77354
Phone (281) 394-4936

1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100

14080 FM 2920 Rd
Ste A
Tomball, TX 77377
Phone (832) 843-7135

19419 Gulf Fwy
Ste 3
Webster, TX 77598
Phone (281) 316-0885

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AACHCD

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1871036202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 SHADOW CANYON LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942390",
            "telephone_number": "713-614-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14080C FARM TO MARKET 2920 E",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "77377",
            "telephone_number": "832-843-7135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10906 Farm to Market 1960 Rd W",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77070",
            "country_code": "US",
            "telephone_number": "281-477-7490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10700 Academy Rd NE Apt 216",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "87111",
            "country_code": "US",
            "telephone_number": "713-614-3097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAGANNATH",
        "first_name": "SHOBHA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-03",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-03187",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.