Shannon Lillard, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1048576 Issued in TX

Practice address

4455 S Padre Island Dr Ste 13
Corpus Christi, TX 78411-5161

Phone

(361) 248-2663

Fax

(361) 356-7420

NPI assigned

Jul 29, 2021

Last updated

Mar 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Richard Barber PLLCGroup PAC ID 8325412307, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Corpus Christi Medical Center,the Hospital, Corpus Christi, TX, CCN 450788

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Richard Barber, PLLC

  dba Bona Fide Medical

  • Orthopaedic Trauma Physician
  • Corpus Christi, TX
  • NPI 1275248999

  Wound Care

  Medicare reassignment Care Compare group NPD
• Children's Physician Services of South Texas

  dba Plastic Reconstructive Surgical Services of South Texas

  • Plastic Surgery Physician
  • Corpus Christi, TX
  • NPI 1568658227
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bay Area Healthcare Group, LTD.

  dba Corpus Christi Medical Center

  • General Acute Care Hospital
  • Corpus Christi, TX
  • NPI 1508810573
  Care Compare affiliation

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1063185668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 S PADRE ISLAND DR STE 13",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115161",
            "telephone_number": "361-248-2663",
            "fax_number": "361-356-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 S PADRE ISLAND DR STE 13",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115161",
            "telephone_number": "361-248-2663",
            "fax_number": "361-356-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLARD",
        "first_name": "SHANNON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "TX",
            "license": "781170",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1048576",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1048576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Savers Plus LLC Dba Qualicare Home Care Corpus Chrisiti
• Lifestyles Distribution Corp.
• Lift Vitalize & Restore Psychiatric Services PLLC
• Lighthouse Hospice-Coastal Bend, LLC (Gentiva)
• Oscar Newton Lightner, MD
• Bonnie Faye Lilly, MA, LPC
• David Limon, MD
• Miranda Lanette Limon
• Julia Linares, LPC, NCC
• Nicholas Andrew Linares, DO

• Nurse Practitioner in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.