Active NPI
Rebekah Suzanne Shaw, NP-C
- Family Nurse Practitioner
- Sealy, TX
National Provider Identifier
1871180166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1022825
- Practice address
- 2006 Hwy 90 W
Suite C
Sealy, TX 77474-3876 - Phone
- (979) 256-1652
- Fax
- (979) 256-1620
- NPI assigned
- Dec 21, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1022825 | TX | Primary |
Addresses
Primary practice location
2006 Hwy 90 W
Suite C
Sealy, TX 77474-3876
Mailing address
2006 Hwy 90 W
Suite C
Sealy, TX 77474-3876
Phone (979) 256-1652
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1022825 | Other | TX | APRN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rshaw515123@outlook.com |
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Previously, effective Sep 11, 2024 through Sep 11, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1022825 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1871180166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 HWY 90 W",
"address_2": "SUITE C",
"city": "SEALY",
"state": "TX",
"postal_code": "774743876",
"telephone_number": "979-256-1652",
"fax_number": "979-256-1620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 HWY 90 W",
"address_2": "SUITE C",
"city": "SEALY",
"state": "TX",
"postal_code": "774743876",
"telephone_number": "979-256-1652",
"fax_number": "979-256-1620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "REBEKAH",
"middle_name": "SUZANNE",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-21",
"last_updated": "2025-01-10",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1022825",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN",
"identifier": "1022825",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rshaw515123@outlook.com",
"affiliation": "N",
"address_1": "2006 HWY 90 W",
"address_2": "Suite C",
"city": "Sealy",
"state": "TX",
"country_code": "US",
"postal_code": "774743876",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Sealy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.