Individual provider Active NPI

Timothy Shane Spinks, APRN, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Worth, TX
National Provider Identifier
1477061364
Registry record updated Jan 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP136214 Issued in TX
Practice address
1500 S Main St
Fort Worth, TX 76104-4917
Phone
(817) 927-1417
NPI assigned
Jan 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP136214 TX Primary

Addresses

Primary practice location

1500 S Main St
Fort Worth, TX 76104-4917

Mailing address

3961 Vista Greens Dr
Fort Worth, TX 76244-8165
Phone (817) 412-9964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180309001044 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052672987 Reassigns benefits to 5 organizations
I20230208001966 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052672987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians
Sound Physicians Anesthesiology of Texas PLLCGroup PAC ID 1254751407, 134 clinicians

Practice addresses (Care Compare)

1400 8TH Ave
Fort Worth, TX 76104-4110

1500 S Main St
Fort Worth, TX 76104-4917
Phone (817) 702-3431

2001 W Rosedale St
Texas Health Surgery Center Fort Wo
Fort Worth, TX 76104-4041
Phone (817) 877-4777

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

Hospital & facility affiliations

  • JPS Health Network Hospital, Fort Worth, TX, CCN 450039
  • Baylor Scott and White All Saints Medical Center Hospital, Fort Worth, TX, CCN 450137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians Anesthesiology of Texas PLLC CurrentSince Nov 1, 2022 Accepting new patients
Hospitalist Medicine Physicians of Texas - Dallas PLLC CurrentSince Jul 1, 2022 Accepting new patients
Healthtexas Provider Network CurrentSince Jan 5, 2026 Accepting new patients
Northstar Anesthesia III PA Nurse Anesthetist, Certified Registered CurrentSince Dec 12, 2023 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Dec 17, 2025 Accepting new patients
Healthtexas Provider Network CurrentSince Jan 5, 2026 Accepting new patients

Locations

1823 College Ave
Manhattan, KS 66502
Phone (785) 539-1704

200 Commodore St
Pratt, KS 67124
Phone (620) 672-6476

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

2001 W Rosedale St
Ft Worth, TX 76104
Phone (817) 877-4777

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

1700 E Saunders St
Laredo, TX 78041
Phone (956) 206-6971

6124 W Parker Rd
Ste 530
Plano, TX 75093
Phone (214) 778-1075

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

2555 Jimmy Johnson Blvd
#O
Port Arthur, TX 77640
Phone (409) 724-7389

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1515888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515888000000",
    "number": "1477061364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3961 VISTA GREENS DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762448165",
            "telephone_number": "817-412-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "817-927-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINKS",
        "first_name": "TIMOTHY",
        "middle_name": "SHANE",
        "credential": "APRN, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-14",
        "last_updated": "2018-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP136214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.