Samuel Guy Shankle, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1170966 Issued in TX

Practice address

3466 Discovery Creek Blvd Ste 600
Spring, TX 77386-7129

Phone

(832) 492-6544

NPI assigned

Aug 12, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samuel.shankle.1@31273.direct.athenahealth.com
• Direct secure messaging: samuel.shankle.1@19704.direct.athenahealth.com

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.

• David P Ellent PLLC

  • Pulmonary Disease Physician
  • Spring, TX
  • NPI 1245777440
  Medicare reassignment NPD
• David P Ellent PLLC

  dba Genesis Medical Group

  • Clinical Medical Laboratory
  • Kingwood, TX
  • NPI 1891348959
  NPD

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1053142067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3466 DISCOVERY CREEK BLVD STE 600",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773867129",
            "telephone_number": "832-492-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3466 DISCOVERY CREEK BLVD STE 600",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773867129",
            "telephone_number": "832-492-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKLE",
        "first_name": "SAMUEL",
        "middle_name": "GUY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1170966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akeemah Adore Shakoor, COTA
• Shalem Medical Supplies
• Shams Nandwani, MD, PA
• Shaddi Valino Shamseddin
• Chanel Shands, BCBA
• Brittany Shannon, DC
• Shaping Little Minds LLC
• Gaurav Sharma
• Sharp Surgical
• Sharp Surgical

• Family Nurse Practitioner in Spring, TX
• Providers in Spring, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.

Verify at the official NPI Registry.