Active NPI
Shannon Renee Robinson, AGNP-C
- Gerontology Nurse Practitioner
- Plano, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 1051895
- Practice address
- 2800 W 15TH St
Plano, TX 75075-7526 - Phone
- (972) 612-9000
- NPI assigned
- Sep 1, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 1051895 | TX | |
| Gerontology Nurse Practitioner | 363LG0600X | 1051895 | TX | Primary |
Addresses
Primary practice location
2800 W 15TH St
Plano, TX 75075-7526
Mailing address
2508 Kermit Dr
Wylie, TX 75098-8226
Phone (248) 890-8430
Other practice location 1
12810 Hillcrest Rd
Dallas, TX 75230-1525
Phone (214) 613-6897
Other practice location 2
17740 Preston Rd Ste 200C
Dallas, TX 75252-5840
Phone (248) 890-8430
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2800 W 15TH St
Plano, TX 75075-7526
Phone (972) 612-9000
4500 Mercantile Plaza Dr
Suite 300
Fort Worth, TX 76137-4206
Phone (888) 402-0202
950 W Bethany Dr
Suite 570
Allen, TX 75013-3845
Phone (844) 941-3087
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1051895 | TX | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consonant Healing Associates of de LLC | Current | Accepting new patients | |
| Texoma Rehab PLLC | Current | Accepting new patients | |
| Meridian Health Partners PLLC | Current | Accepting new patients | |
| Healing Partners Plus PLLC | Current | Accepting new patients | |
| Cardio & Renal Therapeutics of North Texas PLLC | Current | Accepting new patients |
Locations
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
950 W Bethany Dr
Ste 570
Allen, TX 75013
Phone (402) 651-5338
405 Duncan Perry Rd
Arlington, TX 76011
Phone (817) 649-3366
2660 Brickyard Rd
Beaumont, TX 77703
Phone (406) 892-1533
9715 Plano Rd
Dallas, TX 75238
Phone (214) 343-7445
12830 Hillcrest Rd
Ste 111
Dallas, TX 75230
Phone (972) 964-9087
2416 NW 18th St
Ft Worth, TX 76106
Phone (817) 626-5454
4500 Mercantile Plaza Dr
Ste 300
Ft Worth, TX 76137
Phone (469) 688-9501
10851 Crescent Moon Dr
Houston, TX 77064
Phone (281) 890-0171
5830 Collin McKinney Pkwy
Ste 302
McKinney, TX 75070
Phone (212) 272-2774
2800 W 15th St
Plano, TX 75075
Phone (972) 238-7339
3100 S Rigsbee Dr
Plano, TX 75074
Phone (972) 423-6217
8223 Broadway
San Antonio, TX 78209
Phone (210) 828-0606
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Liberty Hill, TX
- NPI 1215533807
-
- Physical Medicine & Rehabilitation Physician
- Plano, TX
- NPI 1679022404
-
- Nephrology Physician
- Sherman, TX
- NPI 1649813296
-
- Internal Medicine Physician
- Allen, TX
- NPI 1609731819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647216000000",
"number": "1013685205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2508 KERMIT DR",
"city": "WYLIE",
"state": "TX",
"postal_code": "750988226",
"telephone_number": "248-890-8430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 W 15TH ST",
"city": "PLANO",
"state": "TX",
"postal_code": "750757526",
"telephone_number": "972-612-9000"
}
],
"practiceLocations": [
{
"address_1": "12810 Hillcrest Rd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752301525",
"country_code": "US",
"telephone_number": "214-613-6897",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17740 Preston Rd Ste 200C",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752525840",
"country_code": "US",
"telephone_number": "248-890-8430",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBINSON",
"first_name": "SHANNON",
"middle_name": "RENEE",
"credential": "AGNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-01",
"last_updated": "2022-03-14",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TX",
"license": "1051895",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "1051895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.