Individual provider Active NPI

Shawn Gasaway, FNP-C

  • Family Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1215561642
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11017089 Issued in FL
Practice address
7501 Quaker Ave FL 1
Lubbock, TX 79424-3367
Phone
(806) 788-3306
Fax
(806) 772-3861
NPI assigned
Feb 25, 2020
Last updated
Mar 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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 123641 AR
Family Nurse Practitioner 363LF0000X 1050304 TX
Family Nurse Practitioner 363LF0000X 11017089 FL Primary

Addresses

Primary practice location

7501 Quaker Ave FL 1
Lubbock, TX 79424-3367

Mailing address

5219 City Bank Pkwy Ste 35
Lubbock, TX 79407-3545
Phone (806) 761-0333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200908000086 AR Practitioner - Nurse Practitioner 9335119197 Reassigns benefits to 4 organizations
I20220209000709 TX Practitioner - Nurse Practitioner 9335119197 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Texas - Houston, PLLCGroup PAC ID 2860881125, 19 clinicians
Sound Physicians Emergency Medicine of Texas PLLCGroup PAC ID 9739449802, 112 clinicians

Practice addresses (Care Compare)

2601 Dimmitt Rd
Plainview, TX 79072-1833
Phone (806) 296-5531

3615 19TH St
Lubbock, TX 79410-1203
Phone (806) 725-0000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
123641ARMDFamily Nurse Practitioner
11017089FLMDFamily Nurse Practitioner
1050304TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care 360 CurrentSince Feb 1, 2021 Accepting new patients
Odessa Physician Associates, PLLC CurrentSince Jun 27, 2023 Accepting new patients
Healthy Arkansas Family Practice & Urgent Care LLC CurrentSince Nov 22, 2020 Accepting new patients
Sound Physicians Emergency Medicine of Texas PLLC CurrentSince Apr 1, 2025 Accepting new patients
American Hope and Health Clinic Associates LLC CurrentSince Mar 1, 2021 Accepting new patients
Terry Memorial Hospital District CurrentSince Jan 6, 2025 Accepting new patients
Curana Health of Arkansas LLC Family CurrentSince Jul 20, 2020 Accepting new patients
Terry Memorial Hospital District CurrentSince Jan 6, 2025 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince May 20, 2024 Accepting new patients
Hospitalist Medicine Physicians of Texas - Houston, PLLC CurrentSince Jul 1, 2022 Accepting new patients
Lawton Indian Hospital CurrentSince Jan 31, 2022 Accepting new patients
Springdale- Bentonville HBP Services, LLC CurrentSince May 3, 2024 Accepting new patients
Basin Emergency Physicians PLLC CurrentSince Dec 30, 2025 Accepting new patients
Lubbock County Hospital District Past Accepting new patients

Locations

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

609 SW 8th St
Fl 6
Bentonville, AR 72712
Phone (479) 349-2579

100 Shadow Oaks Dr
Sherwood, AR 72120
Phone (501) 918-9192

1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

705 E Felt St
Brownfield, TX 79316
Phone (806) 637-1955

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

821 Jeffee Dr
Kermit, TX 79745
Phone (432) 586-2040

3615 19th St
Lubbock, TX 79410
Phone (806) 725-0000

3640 Hampton Dr
Missouri City, TX 77459
Phone (281) 778-5144

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929

900 E 4th St
Odessa, TX 79761
Phone (432) 362-9900

2601 Dimmitt Rd
Plainview, TX 79072
Phone (806) 296-4282

3600 Gates Blvd
Port Arthur, TX 77642
Phone (409) 985-7431

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 2

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": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1215561642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 CITY BANK PKWY STE 35",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073545",
            "telephone_number": "806-761-0333",
            "fax_number": "806-785-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 QUAKER AVE FL 1",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243367",
            "telephone_number": "806-788-3306",
            "fax_number": "806-772-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASAWAY",
        "first_name": "SHAWN",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-25",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "123641",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1050304",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11017089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.