Active NPI
Amy Shank
- Military Hospital
- Garden Ridge, TX
National Provider Identifier
1548586993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Hospital
- License
- 572910
- Practice address
- 18945 FM 2252
Garden Ridge, TX 78266-2562 - Phone
- (210) 651-0027
- NPI assigned
- Apr 9, 2010
- Last updated
- Apr 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Hospital | 286500000X | 572910 | CA | Primary |
Addresses
Primary practice location
18945 FM 2252
Garden Ridge, TX 78266-2562
Mailing address
26020 Avenida del Oro
Temecula, CA 92590-3977
Phone (951) 506-3895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 572910 | CA | MD | Military Hospital |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Medical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Health Service Clinic/Center
- Garden Ridge, TX
- NPI 1215125067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270771200000",
"number": "1548586993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26020 AVENIDA DEL ORO",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925903977",
"telephone_number": "951-506-3895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18945 FM 2252",
"city": "GARDEN RIDGE",
"state": "TX",
"postal_code": "782662562",
"telephone_number": "210-651-0027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANK",
"first_name": "AMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-09",
"last_updated": "2010-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "286500000X",
"taxonomy_group": "",
"desc": "Military Hospital",
"state": "CA",
"license": "572910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Ridge, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.