Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deidra Dehaven Howard, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1720599558

Deidra Dehaven Howard, NURSEPRACTITIONER is a Nurse Practitioner in Shenandoah, Texas. Qualified in 2021, 5 years ago. Practices with Brightside Medical PC, a 280-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Texas.

Years since qualifying
5
Licensed in
CA, TX
In the registry since
2017
Specialties on file
4
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Practice location Address checks out

123 Vision Park Blvd
Shenandoah, TX 77384-3001
Phone: (713) 482-3301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1020379 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence NP95007754 (CA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 1020379 (TX)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence NP95007754 (CA)

Record details

NPI number1720599558
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedOctober 19, 2017
Last updated in NPPESNovember 2, 2023
Certification dateFebruary 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Brightside Medical Pc — 280 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Shenandoah