Whitney Wilkerson Shaw, MSN, APRN NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP138449 Issued in TX

Practice address

3409 Worth St Ste 710
Dallas, TX 75246-2061

Phone

(214) 823-2533

Fax

(214) 823-3270

NPI assigned

Nov 1, 2018

Last updated

May 6, 2020By 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 1

Addresses

Other names 1

• Elizabeth Whitney Wilkerson Former name

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Texas Infectious Diseases ConsultantsGroup PAC ID 5092789842, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor University Medical Center Hospital, Dallas, TX, CCN 450021

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60208
• Direct secure messaging: whitney.shaw@ntidc.directbygreenway.com

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.

• North Texas Infectious Diseases Consultants

  • Specialist
  • Dallas, TX
  • NPI 1891751749
  Medicare reassignment Care Compare group NPD
• Dispatchhealth-Texas P a

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1649787896
  NPD
• North Texas Infectious Disaeases Consultants, PA

  • Specialist
  • Dallas, TX
  • NPI 1932296191
  NPD

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

• Baylor University Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1447250253
  Care Compare affiliation

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1710454202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 WORTH ST STE 710",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462061",
            "telephone_number": "214-823-2533",
            "fax_number": "214-823-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 WORTH ST STE 710",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462061",
            "telephone_number": "214-823-2533",
            "fax_number": "214-823-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "WHITNEY",
        "middle_name": "WILKERSON",
        "credential": "MSN, APRN NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "WILKERSON",
            "middle_name": "WHITNEY",
            "credential": "MSN, APRN NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shaundee Hastings Shaw, MSSW
• Sheri Lyn Shaw, CRNA
• Stephanie Shaw, LPC
• Tyler Shaw, PA
• Velma Shaw
• Yasmine Shawahin
• Shawn Bonsell MD PA
• Shawn M. Cole, M.D. P.C. (Oceanfront Provider Group of California)
• Nicholette Shawn, RD, LD
• Elizabeth Ann Shay

• 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 May 6, 2020; 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.