Shannon A White

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1036205 Issued in TX

Practice address

4441 Long Prairie Rd Ste 200
Flower Mound, TX 75028-5410

Phone

(972) 639-1600

Fax

(972) 639-1677

NPI assigned

Jun 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Texas Health Care PLLCGroup PAC ID 7214840867, 363 clinicians

Desoto Healthcare Clinic LLCGroup PAC ID 1153719414, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Desoto Healthcare Clinic LLC

  • Primary Care Nurse Practitioner
  • Lewisville, TX
  • NPI 1225707342

  Family

  Medicare reassignment Care Compare group NPD
• Texas Health Care, P.L.L.C.

  • Interventional Pain Medicine Physician
  • Fort Worth, TX
  • NPI 1477628873
  Medicare reassignment Care Compare group NPD
• Texas Health Care, P.L.L.C.

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1821026352
  NPD
• Happy Bridge Primary Care & Home Health PLLC

  • Family Nurse Practitioner
  • Lewisville, TX
  • NPI 1699448209
  NPD (past)
• Texas Health Care, P.L.L.C.

  • Otolaryngology Physician
  • Fort Worth, TX
  • NPI 1245686617
  NPD (past)

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1407423189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 LONG PRAIRIE RD STE 200",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750285410",
            "telephone_number": "972-639-1600",
            "fax_number": "972-639-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 LONG PRAIRIE RD STE 200",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750285410",
            "telephone_number": "972-639-1600",
            "fax_number": "972-639-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "SHANNON",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1036205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "famcareclinicstaff@gmail.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4441 Long Prairie Rd Ste 200",
            "city": "Flower Mound",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750285410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tabitha K Westbrook, LMFT, LCMHC, LPC
• Katie Westmoreland, PT, DPT
• Stephanie Dawn Wheeler, PT
• White Orchid Consulting
• Michelle White, APRN
• Whitecoat Enterprises LLC
• Whitney McGee Psychological Services, PLLC
• Catherine Whitten, LMFT
• George Thomas Wickersham
• Annette B Wilkes, O.T.

• Family Nurse Practitioner in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.