Individual provider Active NPI

Steven James Shook, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Haslet, TX
National Provider Identifier
1043862733
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP141329 Issued in TX
Practice address
14128 Tanglebrush TRL
Haslet, TX 76052-3355
Phone
(817) 819-8303
NPI assigned
Jul 12, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP141329 TX Primary

Addresses

Primary practice location

14128 Tanglebrush TRL
Haslet, TX 76052-3355

Mailing address

7505 Glenview Dr
Ste G
Richland Hills, TX 76180-8335
Phone (817) 819-8303

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191021000404 TX Practitioner - Nurse Practitioner 3173854346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Lung and Sleep Center of North Texas PCGroup PAC ID 4880842632, 8 clinicians

Practice addresses (Care Compare)

7505 Glenview Dr
Suite G
Richland Hills, TX 76180-8335
Phone (817) 284-9225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Lung and Sleep Center of North Texas PC CurrentSince Oct 1, 2019 Accepting new patients
Fort Worth Lung Clinic, PA CurrentSince Sep 1, 2020 Accepting new patients
DFW Sleep Diagnostics LLC Past Accepting new patients

Locations

11803 South Fwy
Ste 136
Burleson, TX 76028
Phone (817) 293-4833

11803 South Fwy
Ste 311
Burleson, TX 76028
Phone (817) 210-5283

923 College Ave
Ste 103
Fort Worth, TX 76104
Phone (817) 293-3000

915 S Main St
#A
Fort Worth, TX 76104
Phone (817) 284-9225

800 8th Ave
Ste 412
Ft Worth, TX 76104
Phone (817) 336-0337

7505 Glenview Dr
Ste G
Richland Hills, TX 76180
Phone (201) 780-0749

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHFFCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/DHCCCA/Endpoint/DHCCCA

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1043862733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 GLENVIEW DR",
            "address_2": "STE G",
            "city": "RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808335",
            "telephone_number": "817-819-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14128 TANGLEBRUSH TRL",
            "city": "HASLET",
            "state": "TX",
            "postal_code": "760523355",
            "telephone_number": "817-819-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOOK",
        "first_name": "STEVEN",
        "middle_name": "JAMES",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP141329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haslet, TX

Sources for this page

Verify at the official NPI Registry.