Amy Dawn Shy, EIS

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

1709 10TH St
Wichita Falls, TX 76301-5010

Phone

(940) 500-8029

NPI assigned

Apr 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Helen Farabee Centers

  • Case Management Agency
  • Wichita Falls, TX
  • NPI 1093833154
  NPD (past)

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1114669496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 10TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015010",
            "telephone_number": "940-500-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 10TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015010",
            "telephone_number": "940-500-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHY",
        "first_name": "AMY",
        "middle_name": "DAWN",
        "credential": "EIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "shya@helefarabee.org",
            "affiliation": "N",
            "endpointDescription": "Professional email",
            "address_1": "1709 10th St",
            "city": "Wichita Falls",
            "state": "TX",
            "country_code": "US",
            "postal_code": "763015010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• All providers in Wichita Falls, TX
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.