SHANEA PEARL HALL (NPI# 1689116907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689116907 |
| Entity Type | Individual |
| Full Name | SHANEA PEARL HALL |
| Credential | MSN, APRN, FNP-BC |
| Practice Address |
2515 Business Center Dr Pearland TX 77584-2294 |
| Mailing Address |
11511 Shadow Creek Pkwy Pearland TX 77584-7298 |
| Practice Telephone | 7134427200 |
| Mailing Telephone | 7134420000 |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
814906 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP132642 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 406645802 | 05 | |
| TX | 406645801 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14060 Dublin St, Houston, TX 770851222 | 9032449140 | |
| 2002 Holcombe Blvd, Houston, TX 770304211 | 7137911414 |
| Street Address |
2515 BUSINESS CENTER DR |
| City | PEARLAND |
| State | TX |
| Zip Code | 77584-2294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154378958 | Olufunke A Odetunde | Family Medicine | 2515 Business Center Dr, Pearland, TX 77584-2294 | 2006-05-27 |
| 1043867617 | Melanie L Hodges | Nurse Practitioner | 2515 Business Center Dr, Pearland, TX 77584-2294 | 2019-08-19 |
| 1184287971 | Mary Keeler | Dietitian, Registered | 2515 Business Center Dr, Pearland, TX 77584-2294 | 2019-04-17 |
| 1558824748 | Babylyn Castano Roos | Nurse Practitioner | 2515 Business Center Dr, Pearland, TX 77584-2294 | 2019-04-13 |
| 1811455249 | Camille R Dumoit | Nurse Practitioner | 2515 Business Center Dr, Pearland, TX 77584-2294 | 2019-03-05 |
| 1871050880 | Kasey Lee Matura | Nurse Practitioner | 2515 Business Center Dr, Pearland, TX 77584-2294 | 2019-02-26 |
| 1134620909 | Tami Nicole Andrus | Nurse Practitioner | 2515 Business Center Dr, Pearland, TX 77584-2294 | 2018-02-26 |
| 1740792175 | Christine Tran | Physician Assistant | 2515 Business Center Dr, Pearland, TX 77584-2294 | 2017-10-25 |
| 1750891214 | Monica L Stout | Nurse Practitioner | 2515 Business Center Dr, Pearland, TX 77584-2294 | 2017-10-10 |
| 1912361015 | Warren E Redfearn | Internal Medicine | 2515 Business Center Dr, Pearland, TX 77584 | 2016-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181281 | Joyce Ann Fugit | Technician | 8024 Serenity Dr., Pearland, TX 77584 | 2020-10-16 |
| 1558916403 | Houston Mint Dentistry, Pllc | Dentist | 12568 Broadway St Ste 140, Pearland, TX 77584 | 2019-08-07 |
| 1982259198 | Pearland Unicare Pharmacy LLC | Pharmacy | 10970 Shadow Creek Parkway Suite 110.2, Pearland, TX 77584 | 2019-08-05 |
| 1972155869 | Parastoo Natasha Coselli | Dentist | 2811 Buisness Dr Unit 105, Pearland, TX 77584 | 2019-07-11 |
| 1679042030 | Dorothy B Smith-hubbard | Counselor | 919 Norfolk Dr., Pearland, TX 77584 | 2018-11-15 |
| 1720562499 | Kelly Jean Barba | Physical Therapy Assistant | 3406 Businesses Center Dr, Pearland, TX 77584 | 2018-09-19 |
| 1437631884 | Laura Gillet | Registered Nurse | 3306 Summerwood Lane, Pearland, TX 77584 | 2018-09-02 |
| 1881176204 | Sharry Magne Rivera Estrella | Registered Nurse | 11900 Shadow Creek Parkway Apt 1311, Pearland, TX 77584 | 2018-09-01 |
| 1962982264 | Shara Elizabeth Watts | Occupational Therapist | 12001 Shadow Creek Pwky, Pearland, TX 77584 | 2018-08-16 |
| 1457830861 | Melvin Thomas | Dentist | 3215 Souther Green Drive, Pearland, TX 77584 | 2018-08-08 |
| Find all providers in zip 77584 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849338 | Wendy Villanueva | Nurse Practitioner | 6708 Old Oaks Blvd, Pearland, TX 77584-7140 | 2020-10-20 |
| 1255938916 | Zavera Mcdonald Fnp, Pllc | Nurse Practitioner | 3695 Kirby Dr Ste 125, Pearland, TX 77584-5544 | 2020-10-06 |
| 1528678935 | Melodi Fulya Genceli-ozkan | Nurse Practitioner | 2703 Shadow Bay Dr, Pearland, TX 77584-7218 | 2020-08-01 |
| 1609416296 | Adeola Serifat Adebayo | Nurse Practitioner | 2407 Suncreek Ln, Pearland, TX 77584-3194 | 2020-01-10 |
| 1558908772 | Kia Crawford | Nurse Practitioner | 2404 Smith Ranch Rd Ste 300, Pearland, TX 77584-5201 | 2019-12-06 |
| 1285270991 | Shybi Varghese | Nurse Practitioner | 11307 Palm Bay St, Pearland, TX 77584-8253 | 2019-11-18 |
| 1881237592 | Y Tu Quach | Nurse Practitioner | 3535 Morning Hill Ct, Pearland, TX 77584-7445 | 2019-10-25 |
| 1356804496 | Dustin Rhodes | Nurse Practitioner | 1015 Abbott Dr, Pearland, TX 77584-2391 | 2019-04-06 |
| 1619431251 | Emma Akinyi Ogunda | Nurse Practitioner | 1916 Stable Stone Ln, Pearland, TX 77581-6540 | 2019-01-28 |
| 1497219067 | Jeemol George | Nurse Practitioner | 13606 Becket Bluff Ct, Pearland, TX 77584-2448 | 2019-01-28 |
| Find all providers in PEARLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.