Individual provider Active NPI

Andros Sheppard

  • Driver
  • Houston, TX
National Provider Identifier
1982130175
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
Practice address
13512 Homestead Rd
Houston, TX 77039-2726
Phone
(281) 449-4382
Fax
(281) 667-3116
NPI assigned
May 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X Primary

Addresses

Primary practice location

13512 Homestead Rd
Houston, TX 77039-2726

Mailing address

6919 Sandy Knolls Dr
Spring, TX 77379-4822
Phone (281) 830-0511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lion of Judah Transportation, Inc Current Accepting new patients
Lion of Judah Transportation, Inc Current Accepting new patients
Gods Incredible Light on the Path to His Word Fellowship Center Past Accepting new patients

Organizations & group practices 3

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": "1494115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1982130175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6919 SANDY KNOLLS DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773794822",
            "telephone_number": "281-830-0511",
            "fax_number": "281-667-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13512 HOMESTEAD RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770392726",
            "telephone_number": "281-449-4382",
            "fax_number": "281-667-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "ANDROS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-07",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.