Individual provider Active NPI

Cassandra J Shipman-Wadley, BC-FNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1881789972
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP114448 Issued in TX
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

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 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
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 Medicine 796 clinicians
Pulse Physician Organization PLLC 17 clinicians

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 Hospital, Houston, TX, CCN 450289

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704209034MIMDFamily Nurse Practitioner
711193TXMDFamily Nurse Practitioner
AP114448TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Jun 28, 2009 Accepting new patients
Pulse Healthcare System LLC CurrentSince Dec 1, 2025 Accepting new patients
Pulse Physician Organization PLLC CurrentSince Aug 1, 2019 Accepting new patients
Baylor College of Medicine CurrentSince Jun 28, 2009 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.