La Shannon Green
Individual provider Active NPI Primary Care Nurse Practitioner · Sanger, TX
NPI 1134080922 · NPPES record last updated Nov 20, 2025
Key facts
- NPI
- 1134080922
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 1195392 (TX)
- Practice address
- 4009 Avion Dr
Sanger, TX 76266-1726 - Phone
- (469) 989-6472
- Fax
- (469) 989-6472
- NPI assigned
- Nov 20, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Argyle Health Services, PLLC
Practice addresses (Care Compare)
1490 Commons Cir
Suite 200
Argyle, TX 76226-2716
Phone (214) 518-5016
Hospital & facility affiliations
- Trio Home Care
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260215000105 | TX | Practitioner - Nurse Practitioner | 1658851027 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1195392 | TX | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Argyle Health Services, PLLC | Adult Health | Current |
Accepting new patients |
| Greens Haven | Current |
Accepting new patients | |
| Heal 360 Urgent Care, LLC | Past | Accepting new patients |
Locations
1490 Commons Cir
Ste 200
Argyle, TX 76226
Phone (214) 518-5016
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 1195392 | TX | Yes |
| Adult Health Nurse Practitioner | 363LA2200X | 1195392 | TX | |
| Gerontology Nurse Practitioner | 363LG0600X | 1195392 | TX |
Addresses
Primary practice location
4009 Avion Dr
Sanger, TX 76266-1726
Mailing address
4009 Avion Dr
Sanger, TX 76266-1726
Phone (469) 989-6472
Other providers in Sanger, TX
- Joe P Gallo
- Charity Gary
- Brianne Renae Givens
- Greater Dallas Anesthesia &Pain Management
- Greater Texas Anesthesia & Pain Management, PA
- Greens Haven
- Virginia Briana Gresham
- Lauren Griffith
- Jo Beth Guerra
- Edward Hugh Hague
All providers in Sanger, TX · Primary Care Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.