Individual provider Active NPI

Shelby Leigh Hanigan, FNP-C

  • Family Nurse Practitioner
  • Abilene, TX
National Provider Identifier
1073011300
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136334 Issued in TX
Practice address
849 Coliseum Way
Abilene, TX 79699-8154
Phone
(325) 674-2145
Fax
(325) 674-6998
NPI assigned
Feb 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP136334 TX Primary

Addresses

Primary practice location

849 Coliseum Way
Abilene, TX 79699-8154

Mailing address

849 Coliseum Way
Acu Box 28154
Abilene, TX 79699-8154
Phone (325) 674-2145

Other names 1

  • Ms. Shelby Leigh White Former name

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
I20180523001673 TX Practitioner - Nurse Practitioner 1153686019

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1900 Pine St
Abilene, TX 79601-2432

4438 S Clack St
Suite 200
Abilene, TX 79606-3634

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP136334TXMDFamily Nurse Practitioner

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1073011300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 COLISEUM WAY",
            "address_2": "ACU BOX 28154",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796998154",
            "telephone_number": "325-674-2145",
            "fax_number": "325-674-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 COLISEUM WAY",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796998154",
            "telephone_number": "325-674-2145",
            "fax_number": "325-674-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANIGAN",
        "first_name": "SHELBY",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "WHITE",
            "middle_name": "LEIGH",
            "prefix": "MS.",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.