Shanique Ivery

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

F421629-01 Issued in NY

Practice address

10333 Clay Rd Apt 1011
Houston, TX 77041-2361

Phone

(832) 726-5272

NPI assigned

Mar 20, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Planned Parenthood of Greater New York Inc

  • Ambulatory Family Planning Facility
  • Brooklyn, NY
  • NPI 1417959701
  Medicare reassignment NPD
• Planned Parenthood of the Southern Finger Lakes Inc.

  • Ambulatory Family Planning Facility
  • Ithaca, NY
  • NPI 1881761484
  NPD (past)

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1942902663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10333 CLAY RD APT 1011",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770412361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10333 CLAY RD APT 1011",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770412361",
            "telephone_number": "832-726-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERY",
        "first_name": "SHANIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F421629-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Halyna Ivashchuk, M.D.
• Ivedco, LLC
• Ivek Transcare
• Virginia Melo Ivers
• Mona E Iversen, M.D.
• Alyssa Ives
• Andrew Ives, MSPT
• Catherine Eckard Ivey, PSYD
• Elizabeth Ivey
• Heather R Ivey, ASSOCIATES

• Women's Health Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Women's Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.