Individual provider Active NPI

Shabnam Gettu Gill, NP

  • Acute Care Nurse Practitioner
  • Plano, TX
National Provider Identifier
1447715503
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP140389 Issued in TX
Practice address
6130 W Parker Rd Ste 516
Plano, TX 75093-8033
Phone
(972) 820-9494
Fax
(972) 820-7772
NPI assigned
Feb 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP140389 TX Primary

Addresses

Primary practice location

6130 W Parker Rd Ste 516
Plano, TX 75093-8033

Mailing address

6130 W Parker Rd Ste 516
Plano, TX 75093-8033
Phone (972) 820-9494

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
I20200317002029 TX Practitioner - Nurse Practitioner 5395173736 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Mar 14, 2020 Accepting new patients
Dallas Pulmonary & Critical Care PA Acute Care CurrentSince Dec 15, 2022 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texomacare Specialty Physicians CurrentSince Sep 18, 2023 Accepting new patients
Texas Health Physicians Group CurrentSince Mar 14, 2020 Accepting new patients
Texomacare Past Accepting new patients

Locations

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

221 W Colorado Blvd
Ste 525
Dallas, TX 75208
Phone (214) 956-4525

5012 S US Highway 75
Ste 275
Denison, TX 75020
Phone (903) 416-6325

5016 US Highway 75
Denison, TX 75020
Phone (855) 222-9637

5026 Pool Rd
Denison, TX 75020
Phone (903) 465-3624

123 W Main St
Denison, TX 75021

5605 N MacArthur Blvd
Ste 740
Irving, TX 75038
Phone 2149605681 ext. 75

6130 W Parker Rd
Ste 516
Plano, TX 75093
Phone (972) 747-4271

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDAGBA

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1447715503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 W PARKER RD STE 516",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938033",
            "telephone_number": "972-820-9494",
            "fax_number": "972-820-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 W PARKER RD STE 516",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938033",
            "telephone_number": "972-820-9494",
            "fax_number": "972-820-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "SHABNAM",
        "middle_name": "GETTU",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP140389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.