Active NPI
Shirley Myers, NP
- Family Nurse Practitioner
- Amarillo, TX
National Provider Identifier
1295746758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 230279
- Practice address
- 723 N Taylor St
Suite B
Amarillo, TX 79107-5279 - Phone
- (806) 345-7917
- Fax
- (806) 345-7921
- NPI assigned
- Aug 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 230279 | TX | |
| Family Nurse Practitioner | 363LF0000X | 230279 | TX | Primary |
Addresses
Primary practice location
723 N Taylor St
Suite B
Amarillo, TX 79107-5279
Mailing address
2801 W 8TH St
Attn: Credentialing
Plainview, TX 79072-6737
Phone (806) 293-8561
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 870N03 | Other | TX | BCBS TEXAS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 230279 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regence Health Network Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Amarillo, TX
- NPI 1033117577
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": "1462752000000",
"number": "1295746758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 W 8TH ST",
"address_2": "ATTN: CREDENTIALING",
"city": "PLAINVIEW",
"state": "TX",
"postal_code": "790726737",
"telephone_number": "806-293-8561",
"fax_number": "806-293-8413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 N TAYLOR ST",
"address_2": "SUITE B",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791075279",
"telephone_number": "806-345-7917",
"fax_number": "806-345-7921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "SHIRLEY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2016-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TX",
"license": "230279",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "230279",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TEXAS",
"identifier": "870N03",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.