Individual provider Active NPI

Dana Lynn Shields, CNM

  • Advanced Practice Midwife
  • Mount Pleasant, TX
National Provider Identifier
1083073803
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP130343 Issued in TX
Practice address
2015 Mulberry Ave Ste 250
Mount Pleasant, TX 75455-2927
Phone
(903) 572-4664
Fax
(903) 572-4647
NPI assigned
Feb 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X AP130343 TX Primary

Addresses

Primary practice location

2015 Mulberry Ave Ste 250
Mount Pleasant, TX 75455-2927

Mailing address

1107 E Marshall Ave
Longview, TX 75601-5602
Phone (903) 212-4763

Other practice location 1

1107 E Marshall Ave
Longview, TX 75601-5602
Phone (903) 758-2610

Other practice location 2

802 Medical Cir Ste 101
Longview, TX 75605-5169
Phone (903) 758-2610

Other practice location 3

425 N Fredonia St
Longview, TX 75601-6464
Phone (903) 758-2610

Other practice location 4

1761 W Loop 281
Longview, TX 75604-2734
Phone (903) 758-2610

Other practice location 5

705 E Marshall Ave Ste 3000
Longview, TX 75601-5661
Phone (903) 758-2610

Other practice location 6

825 Medical Dr Ste A
Tyler, TX 75701-2143
Phone (903) 758-2610

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160301001317 TX Practitioner - Certified Nurse Midwife (CNM) 1951606862 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
AP130343TXMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Longview Wellness Center Inc CurrentSince Jan 1, 2020 Accepting new patients
Longview Wellness Center, Inc Current Accepting new patients
Longview Wellness Center Inc CurrentSince Jan 1, 2020 Accepting new patients
Titus County Hospital District Past Accepting new patients
Longview Wellness Center Inc PastSince Jan 2, 2022 Accepting new patients

Locations

1701 Pine Tree Rd
Longview, TX 75604
Phone (903) 295-5151

1107 E Marshall Ave
Longview, TX 75601
Phone (903) 212-4763

2015 Mulberry Ave
Ste 250
Mt Pleasant, TX 75455
Phone (903) 572-4095

Interoperability endpoints

  • Direct secure messaging: danashields@wp.medalliesdirect.net

Organizations & group practices 5

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": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1083073803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 E MARSHALL AVE",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015602",
            "telephone_number": "903-212-4763",
            "fax_number": "903-758-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 MULBERRY AVE STE 250",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552927",
            "telephone_number": "903-572-4664",
            "fax_number": "903-572-4647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1107 E Marshall Ave",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015602",
            "country_code": "US",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "802 Medical Cir Ste 101",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756055169",
            "country_code": "US",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 N Fredonia St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756016464",
            "country_code": "US",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1761 W Loop 281",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756042734",
            "country_code": "US",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 E Marshall Ave Ste 3000",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015661",
            "country_code": "US",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 Medical Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012143",
            "country_code": "US",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "DANA",
        "middle_name": "LYNN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "AP130343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, TX

Sources for this page

Verify at the official NPI Registry.