Active NPI
Shantrae Moore
- Family Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 757931
- Practice address
- 5603 FM 1960 Rd W
Houston, TX 77069-4219 - Phone
- (281) 397-4030
- Fax
- (281) 397-0604
- NPI assigned
- Jul 24, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 757931 | TX | Primary |
Addresses
Primary practice location
5603 FM 1960 Rd W
Houston, TX 77069-4219
Mailing address
5603 FM 1960 Rd W
Houston, TX 77069-4219
Phone (281) 397-4030
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 757931 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Hope Foundation, Inc | Current | Accepting new patients | |
| St. Hope Foundation, Inc | Current | Accepting new patients | |
| St Hope Foundation Inc | Current | Accepting new patients | |
| Tri-County Behavioral Healthcare | Current | Accepting new patients | |
| St. Hope Foundation, Inc - Dental | Past | Accepting new patients |
Locations
6800 West Loop S
Ste 560
Bellaire, TX 77401
Phone (713) 839-7111
233 Sgt Ed Holcomb Blvd S
Conroe, TX 77304
Phone (936) 521-6151
706 Old Montgomery Rd
Conroe, TX 77301
Phone (936) 538-1102
1414 S Frazier St
Ste 105
Conroe, TX 77301
Phone (936) 441-2440
1414 S Frazier St
Conroe, TX 77301
Phone (936) 494-2455
3750 Medical Park Blvd
Ste 150
Dickinson, TX 77539
Phone (832) 738-1305
6200 Savoy Dr
Ste 540
Houston, TX 77036
Phone (713) 778-1300
255 Northpoint Dr
Ste 200
Houston, TX 77060
Phone (832) 300-8040
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Conroe, TX
- NPI 1851333074
-
- Federally Qualified Health Center (FQHC)
- Sugar Land, TX
- NPI 1992869846
-
- Clinic/Center
- Sugar Land, TX
- NPI 1114300142
-
- Federally Qualified Health Center (FQHC)
- Jersey Village, TX
- NPI 1952078990
-
- General Practice Dentistry
- Conroe, TX
- NPI 1134636640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1992258131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5603 FM 1960 RD W",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770694219",
"telephone_number": "281-397-4030",
"fax_number": "281-397-0604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5603 FM 1960 RD W",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770694219",
"telephone_number": "281-397-4030",
"fax_number": "281-397-0604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "SHANTRAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-24",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "757931",
"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 Apr 22, 2026; 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.