Active NPI
Cassandra J Shipman-Wadley, BC-FNP
- Family Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP114448
- Practice address
- 3550 Swingle Rd
Houston, TX 77047-3763 - Phone
- (713) 547-1000
- Fax
- (713) 547-1166
- NPI assigned
- Oct 4, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 711193 | TX | |
| Family Nurse Practitioner | 363LF0000X | 4704209034 | MI | |
| Family Nurse Practitioner | 363LF0000X | AP114448 | TX | Primary |
Addresses
Primary practice location
3550 Swingle Rd
Houston, TX 77047-3763
Mailing address
2635 Summer Rain Dr
Manvel, TX 77578-3117
Phone (713) 516-7005
Other names 1
- Mrs. Cassandra J Shipman
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090805000516 | TX | Practitioner - Nurse Practitioner | 7214080472 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baylor College of MedicinePulse Physician Organization PLLC
Practice addresses (Care Compare)
1504 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-2000
2502 Canal St
Houston, TX 77003-1523
Phone (713) 224-0555
Hospital & facility affiliations
- Harris Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704209034 | MI | MD | Family Nurse Practitioner |
| 711193 | TX | MD | Family Nurse Practitioner |
| AP114448 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Current | Accepting new patients | |
| Pulse Healthcare System LLC | Current | Accepting new patients | |
| Pulse Physician Organization PLLC | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| Baylor College of Medicine | Past | Accepting new patients |
Locations
21212 Northwest Fwy
Ste 405
Cypress, TX 77429
Phone (281) 890-8586
1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860
2502 Canal St
Houston, TX 77003
Phone (713) 224-0555
2 Greenway Plz
Houston, TX 77046
Phone (713) 798-1700
3550 Swingle Rd
Houston, TX 77047
Phone (713) 547-1000
119 Medical Park Ln
Ste D
Huntsville, TX 77340
Phone (936) 277-1000
25420 Kuykendahl Rd
Ste 800
Tomball, TX 77375
Phone (346) 794-0001
25420 Kuykendahl Rd
Ste 700
Tomball, TX 77375
Phone (346) 794-0001
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EIBDCA
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 and National Provider Directory roles.
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- NPI 1780978908
-
- Internal Medicine Physician
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- NPI 1104867175
-
- Neurological Surgery Physician
- Houston, TX
- NPI 1730132721
Hospital & facility affiliations 1
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": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726185600000",
"number": "1881789972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2635 SUMMER RAIN DR",
"city": "MANVEL",
"state": "TX",
"postal_code": "775783117",
"telephone_number": "713-516-7005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 SWINGLE RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770473763",
"telephone_number": "713-547-1000",
"fax_number": "713-547-1166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIPMAN-WADLEY",
"first_name": "CASSANDRA",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "BC-FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "711193",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704209034",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP114448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CASSANDRA",
"last_name": "SHIPMAN",
"middle_name": "J",
"prefix": "MRS.",
"credential": "BC-FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.