Individual provider Active NPI

Anne E. Shields, FNP, CS P-MH

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Longview, TX
National Provider Identifier
1174626162
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
66573 Issued in ID
Practice address
827 Lansing Switch Rd
Longview, TX 75602-7102
Phone
(903) 660-3053
Fax
(844) 429-8648
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 238667 TX
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 238667 TX
Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SP0808X 66573 ID Primary

Addresses

Primary practice location

827 Lansing Switch Rd
Longview, TX 75602-7102

Mailing address

510 E Loop 281 Ste B-232
Longview, TX 75605-5077
Phone (903) 475-2602

Other practice location 1

54304 Highway 200
Clark Fork, ID 83811-0598
Phone (208) 584-1554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
238667TXMDFamily Nurse Practitioner
66573IDMDPsychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1174626162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E LOOP 281 STE B-232",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055077",
            "telephone_number": "903-475-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 LANSING SWITCH RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756027102",
            "telephone_number": "903-660-3053",
            "fax_number": "844-429-8648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54304 Highway 200",
            "address_purpose": "LOCATION",
            "city": "Clark Fork",
            "state": "ID",
            "postal_code": "838110598",
            "country_code": "US",
            "telephone_number": "208-584-1554",
            "fax_number": "208-584-1557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "ANNE",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "FNP, CS P-MH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "238667",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "TX",
            "license": "238667",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "ID",
            "license": "66573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.