Shayna Christine Yudizky, MSN, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1127918 Issued in TX

Practice address

9301 Lakeview Pkwy Ste 200
Rowlett, TX 75088-4458

Phone

(817) 247-2645

NPI assigned

Jun 1, 2023

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

Other names 1

• Shayna Christine Moore Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shayna.yudizky.1@8042.direct.athenahealth.com

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.

• Texas Health Care, P.L.L.C.

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

  • Obstetrics & Gynecology Physician
  • Willow Park, TX
  • NPI 1073679379
  NPD
• Texas Health Care, P.L.L.C.

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1821026352
  NPD
• Thomas S Sudela MD PA

  • Obstetrics Physician
  • Rockwall, TX
  • NPI 1821186545
  NPD (past)

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1417640665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 LAKEVIEW PKWY STE 200",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884458",
            "telephone_number": "817-247-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 LAKEVIEW PKWY STE 200",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884458",
            "telephone_number": "817-247-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUDIZKY",
        "first_name": "SHAYNA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1127918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAYNA",
            "last_name": "MOORE",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark Yeakley, MD
• Yodas 2ND Breakfast
• Dong Hi Yoon, MD
• Cherie Young, CNIM, R.EEGT.
• Donna Young
• Zalcon Pharmacy
• Sarah Marie Zaluski, NP
• Gabriela Monika Zandomeni, M.D.
• Jordyn Zmolik, MIDWIFE
• Zoe Christian Senior Care LLC

• Family Nurse Practitioner in Rowlett, TX
• Providers in Rowlett, 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 Jul 12, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.