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Shelby L Reyes-Widrick

Physician β€’ Houston, TX

Active NPI 1376100347 Individual Practitioner Female Practitioner
Practice location in NPPES

955 Campbell Rd
Houston, TX 770242803

Call 7134641511 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

955 Campbell Rd

Houston, TX 770242803

Telephone 7134641511
Organization at the Same NPPES Address or Phone
Spring Branch Isd Facility NPI 1831225002

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-08-06
Clinic/Center - Hearing and Speech Primary Specialty

NUCC Taxonomy Code: 261QH0700X

An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 06, 2025

Registered at 955 CAMPBELL RD, HOUSTON, TX 770242803 (Tel: 7134641511)

πŸ“
Updated Business Mailing Address August 06, 2025

Registered at 5511 MOULTRIE LN, HOUSTON, TX 770847118 (Tel: 8329065790)

πŸ‘€
Provider Name / Credentials Updated August 06, 2025

Recorded as SHELBY REYES-WIDRICK

βœ…
NPI Profile Active May 23, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 23, 2019

Registered at 9125 HIGHWAY 6 N APT 2028, HOUSTON, TX 770952356 (Tel: 8329065790)

πŸ“
Business Mailing Address (Initial Record) May 23, 2019

Registered at 9125 HIGHWAY 6 N APT 2028, HOUSTON, TX 770952356 (Tel: 8329065790)

πŸ‘€
Provider Name / Credentials (Initial Record) May 23, 2019

Recorded as SHELBY REYES

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2019

Clinic/Center

🟒
Initial NPI Registration & Enumeration May 23, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1376100347
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2019
Last Update: August 06, 2025
Sole Proprietor: Yes

Mailing Address

5511 Moultrie Ln

Houston, TX 770847118

Phone: 8329065790

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.