Active NPI
Shawana Duncantel
- Prosthetist
- Killeen, TX
National Provider Identifier
1568083897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 4700 Trimmier Rd Ste F
Killeen, TX 76542-5870 - Phone
- (512) 688-6090
- Fax
- (512) 866-6771
- NPI assigned
- Apr 28, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
4700 Trimmier Rd Ste F
Killeen, TX 76542-5870
Mailing address
4700 Trimmier Rd Ste F
Killeen, TX 76542-5870
Phone (512) 688-6090
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 5128666771 |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589500800000",
"number": "1568083897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 TRIMMIER RD STE F",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765425870",
"telephone_number": "512-688-6090",
"fax_number": "512-866-6771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 TRIMMIER RD STE F",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765425870",
"telephone_number": "512-688-6090",
"fax_number": "512-866-6771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCANTEL",
"first_name": "SHAWANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-28",
"last_updated": "2020-05-15",
"certification_date": "2020-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "5128666771",
"affiliation": "N",
"endpointDescription": "Fax",
"address_1": "4700 Trimmier Rd Ste F",
"city": "Killeen",
"state": "TX",
"country_code": "US",
"postal_code": "765425870",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.