Individual provider Active NPI

Shanna Geigle

  • Family Nurse Practitioner
  • La Vernia, TX
National Provider Identifier
1679941736
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1084249 Issued in TX
Practice address
13857 US Highway 87 W Ste 200
La Vernia, TX 78121-5921
Phone
(830) 393-1400
NPI assigned
Sep 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1084249 TX
Primary Care Nurse Practitioner 363LP2300X 201507005NP-PP OR
Family Nurse Practitioner 363LF0000X 1084249 TX Primary

Addresses

Primary practice location

13857 US Highway 87 W Ste 200
La Vernia, TX 78121-5921

Mailing address

13857 US Highway 87 W Ste 200
La Vernia, TX 78121-5921
Phone (830) 393-1400

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250520004100 TX Order and Referring Only - Nurse Practitioner 3375848005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201507005NP-PPORMDPrimary Care Nurse Practitioner
1084249TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson County Memorial Hospital District Past Accepting new patients
Wilson County Memorial Hospital District Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1441584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1679941736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13857 US HIGHWAY 87 W STE 200",
            "city": "LA VERNIA",
            "state": "TX",
            "postal_code": "781215921",
            "telephone_number": "830-393-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13857 US HIGHWAY 87 W STE 200",
            "city": "LA VERNIA",
            "state": "TX",
            "postal_code": "781215921",
            "telephone_number": "830-393-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEIGLE",
        "first_name": "SHANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-07",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1084249",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OR",
            "license": "201507005NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1084249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Vernia, TX

Sources for this page

Verify at the official NPI Registry.