NPIMap

Individual provider Active NPI

Shiny Naganoolil

  • Family Nurse Practitioner
  • Sunnyvale, TX
National Provider Identifier
1265897219
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128921 Issued in TX
Practice address
311 Waterford LN
Sunnyvale, TX 75182-3235
Phone
(973) 580-8940
NPI assigned
Dec 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP128921 TX Primary

Addresses

Primary practice location

311 Waterford LN
Sunnyvale, TX 75182-3235

Mailing address

311 Waterford LN
Sunnyvale, TX 75182-3235
Phone (973) 580-8940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160406000953 TX Practitioner - Nurse Practitioner 1951609007 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas County Hospital DistrictGroup PAC ID 8325934813, 597 clinicians

Practice addresses (Care Compare)

1800 N Britain Rd
Parkland Health
Irving, TX 75061-2630
Phone (214) 266-3000

5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone (214) 590-8006

6201 Harry Hines Blvd
Dallas, TX 75235-5202
Phone (214) 633-5555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.1 of 100Reported as group
Quality
88.97
Promoting interoperability
79
Improvement activities
40
Cost
83.75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Apr 3, 2023 Accepting new patients
Dallas County Hospital District Family Current Accepting new patients
Dallas County Hospital District Family CurrentSince Feb 20, 2016 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Dallas County Hospital District Family CurrentSince Feb 20, 2016 Accepting new patients
Star Ed PLLC CurrentSince Jun 14, 2020 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Apr 3, 2023 Accepting new patients
Integrity MD PLLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

9 Medical Pkwy
Dallas, TX 75234
Phone (972) 243-5558

6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000

Interoperability endpoints

  • Direct secure messaging: snaganoolil50615@direct.phhs.org

Organizations & group practices 9

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.

Hospital & facility affiliations 46

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450310400000",
    "number": "1265897219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 WATERFORD LN",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751823235",
            "telephone_number": "973-580-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 WATERFORD LN",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751823235",
            "telephone_number": "973-580-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGANOOLIL",
        "first_name": "SHINY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, TX

Sources for this page

Verify at the official NPI Registry.