Tonya Shankle

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

64687 Issued in TX

Practice address

10816 Crown Colony Dr Ste 100
Austin, TX 78747-1639

Phone

(541) 519-6191

NPI assigned

Jan 13, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pegasus Schools, Inc

  • Professional Counselor
  • Lockhart, TX
  • NPI 1316091200

  Clinical

  Medicare reassignment NPD
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  TX

  Medicare reassignment NPD
• Hospital Internists of Texas, LLC

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1912430281
  NPD (past)
• New Directions Northwest, Inc

  • Community/Behavioral Health Agency
  • Baker City, OR
  • NPI 1235124462
  NPD (past)

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1639535149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 HIVER CIR",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786405501",
            "telephone_number": "737-303-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10816 CROWN COLONY DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787471639",
            "telephone_number": "541-519-6191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "183 Hiver Cir",
            "address_purpose": "LOCATION",
            "city": "Kyle",
            "state": "TX",
            "postal_code": "786405501",
            "country_code": "US",
            "telephone_number": "373-036-7807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANKLE",
        "first_name": "TONYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-13",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "64687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Ryan Shaner, D.C.
• Sarah Alexis Laurielle Shaney, LCSW
• Courtney Safron Shanitkvich, RD
• Hayley Ellen Shank, OTR, OTD
• Shruti Shanker, D.O.
• Andrew Christopher Shanks, LCDC
• Laranci Shanmugarajah
• George Mark Shannan
• George Martin Shannan, D.C.
• Shannon M Mekuly LPC Atr P.C

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.