Shannon Diane Fretwell, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

163893 Issued in TX

Practice address

480 Agave Flats Dr
New Braunfels, TX 78130-5988

Phone

(512) 400-8027

NPI assigned

Apr 28, 2020

Last updated

Apr 28, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1528689882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 AGAVE FLATS DR",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305988",
            "telephone_number": "512-400-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 AGAVE FLATS DR",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305988",
            "telephone_number": "512-400-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRETWELL",
        "first_name": "SHANNON",
        "middle_name": "DIANE",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "163893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Free Spirit Counseling PLLC
• Jennifer Jean Free, LPC
• Lucinda Freeman, DPT
• Ghassan Freiha, MD
• Fresenius Medical Care San Antonio, LLC (New Braunfels Kidney Disease Clinic)
• Jennifer Freytag, NP
• Mary Susan Fricke, LPC
• Gerlyn Marie Friesenhahn, M.D.
• Maricelys Frontera, DC
• Erica Frost, O.D.

• Licensed Vocational Nurse in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.