Individual provider Active NPI

Earth-Shameenah Ladija Reddick, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1922636612
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP1112588 Issued in TX
Practice address
6441 High Star Dr
Houston, TX 77074-5005
Phone
(832) 548-5300
NPI assigned
Mar 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1112588 TX
Registered Nurse 163W00000X RN638153 PA
Family Nurse Practitioner 363LF0000X SP021877 PA
Family Nurse Practitioner 363LF0000X AP1112588 TX Primary

Addresses

Primary practice location

6441 High Star Dr
Houston, TX 77074-5005

Mailing address

6441 High Star Dr
Houston, TX 77074-5005
Phone (832) 548-5300

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
I20230720003202 TX Practitioner - Nurse Practitioner 0547685448 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN638153PAMDRegistered Nurse
SP021877PAMDFamily Nurse Practitioner
AP1112588TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Community Health Services, Inc CurrentSince Jul 6, 2023 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Jul 6, 2023 Accepting new patients

Locations

12667 Bissonnet St
Houston, TX 77099
Phone (281) 498-6100

6500 Rookin St
Ste 200
Houston, TX 77074
Phone (713) 351-7350

5420 Dashwood Dr
Ste 100
Houston, TX 77081
Phone (713) 486-2900

6500 Rookin St
#200
Houston, TX 77074
Phone (713) 351-7350

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

Interoperability endpoints

  • Direct secure messaging: eholman@landmarkhealth-direct.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1922636612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6441 HIGH STAR DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770745005",
            "telephone_number": "832-548-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6441 HIGH STAR DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770745005",
            "telephone_number": "832-548-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDICK",
        "first_name": "EARTH-SHAMEENAH",
        "middle_name": "LADIJA",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1112588",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN638153",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP021877",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP1112588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.