Wendi Shanahan Pothukanuri, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP115675 Issued in TX

Practice address

12230 Coit Rd Ste 120
Dallas, TX 75251-2323

Phone

(888) 339-0906

NPI assigned

Oct 19, 2007

Last updated

Dec 4, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specialty Infusion LLCGroup PAC ID 9931532116, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13558/brand/1/csg/1/fhir/r4

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.

• Specialty Infusion LLC

  dba CareFusion Infusion Centers

  • Specialist
  • Allen, TX
  • NPI 1750933230
  Medicare reassignment Care Compare group NPD
• Americare Medical Partners, PLLC

  • Infectious Disease Physician
  • Lewisville, TX
  • NPI 1346651072
  NPD (past)
• John P Lavery MD PA

  • Family Medicine Physician
  • Allen, TX
  • NPI 1952530958
  NPD (past)
• John P Lavery, MD, PA

  • Clinical Medical Laboratory
  • Allen, TX
  • NPI 1861803801
  NPD (past)

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1669661146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12230 COIT RD STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12230 COIT RD STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512323",
            "telephone_number": "888-339-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTHUKANURI",
        "first_name": "WENDI",
        "middle_name": "SHANAHAN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "689103",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP115675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Caroline Poteete
• Renee M Potera, M.D.
• Stefeena Rachel Pothen, FNP-C
• Tanushri Pothini
• Pothos Health
• Bridgette Renee Potier, PHARM D
• Whitney Kristina Potomac, D.O.
• Dana Potter, M.D.
• Jason K Potter, M.D., D.D.S.
• Jennifer Bailey Potter, PA

• Family Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.
• 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.