Individual provider Active NPI

Shanna Barry, N.P.

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1245241066
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP114625 Issued in TX
Practice address
3200 Red River St Ste 201
Austin, TX 78705-2655
Phone
(855) 481-8375
NPI assigned
Aug 10, 2006
Last updated
Sep 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 613974 TX
Family Nurse Practitioner 363LF0000X AP114625 TX Primary

Addresses

Primary practice location

3200 Red River St Ste 201
Austin, TX 78705-2655

Mailing address

3706 S 1St St
Austin, TX 78704-7046
Phone (512) 324-4973

Other identifiers 1

IdentifierTypeStateIssuer
111433201OtherTXMEDICAID EPSDT

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070119000067 TX Practitioner - Nurse Practitioner 4789685660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harbor Health Medical GroupGroup PAC ID 8921482597, 46 clinicians

Practice addresses (Care Compare)

505 W Louis Henna Blvd
Suite 100
Austin, TX 78728-1702
Phone (855) 481-8375

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
613974TXMDNurse Practitioner
AP114625TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Health Medical Group CurrentSince Aug 1, 2023 Accepting new patients
Ascension Seton Past Accepting new patients

Locations

2200 Park Bend Dr
Ste 300
Austin, TX 78758
Phone (512) 371-6398

3200 Red River St
Ste 201
Austin, TX 78705
Phone (512) 473-0201

505 W Louis Henna Blvd
Ste 100
Austin, TX 78728
Phone (512) 252-1505

507 Calles St
Ste 100
Austin, TX 78702

911 W 38th St
Ste 101
Austin, TX 78705
Phone (512) 410-0767

177 Kirkham Cir
Kyle, TX 78640
Phone (512) 405-0077

511 Oakwood Blvd
Ste 200
Round Rock, TX 78681
Phone (512) 246-2262

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28292/brand/1/csg/1/fhir/r4
  • Direct secure messaging: shanna.barry.1@28292.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1245241066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 S 1ST ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047046",
            "telephone_number": "512-324-4973",
            "fax_number": "512-324-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 RED RIVER ST STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052655",
            "telephone_number": "855-481-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRY",
        "first_name": "SHANNA",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "613974",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP114625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID EPSDT",
            "identifier": "111433201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.