NPIMap

Individual provider Active NPI

Shawn Holloway, FNP

  • Family Nurse Practitioner
  • Rockwall, TX
National Provider Identifier
1699192674
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
625999 Issued in TX
Practice address
3142 Horizon Rd Ste 209
Rockwall, TX 75032-7802
Phone
(972) 771-2018
Fax
(972) 772-4654
NPI assigned
Mar 27, 2014
Last updated
Sep 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 625999 TX Primary

Addresses

Primary practice location

3142 Horizon Rd Ste 209
Rockwall, TX 75032-7802

Mailing address

3142 Horizon Rd Ste 209
Rockwall, TX 75032-7802
Phone (972) 771-2018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140723001339 TX Practitioner - Nurse Practitioner 3173749413 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Les T. Sandknop, D.O. PAGroup PAC ID 2860387578, 11 clinicians

Practice addresses (Care Compare)

1005 W Ralph Hall Pkwy
Suite 221
Rockwall, TX 75032-6662
Phone (972) 771-9000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
625999TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Sep 1, 2016 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Sep 1, 2016 Accepting new patients
Les T. Sandknop, D.O. PA CurrentSince May 15, 2025 Accepting new patients

Locations

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

4315 Ridgecrest Rd
Greenville, TX 75402
Phone (903) 450-4788

1005 W Ralph Hall Pkwy
Ste 221
Rockwall, TX 75032
Phone (972) 771-9000

2504 Ridge Rd
Ste 101
Rockwall, TX 75087
Phone (972) 771-2018

3142 Horizon Rd
Ste 209
Rockwall, TX 75032
Phone (972) 771-2018

3150 Horizon Rd
Rockwall, TX 75032
Phone (469) 697-1000

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Organizations & group practices 6

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1699192674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3142 HORIZON RD STE 209",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327802",
            "telephone_number": "972-771-2018",
            "fax_number": "972-772-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3142 HORIZON RD STE 209",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327802",
            "telephone_number": "972-771-2018",
            "fax_number": "972-772-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "SHAWN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-27",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "625999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.