Individual provider Active NPI

Shayla R Fine, FNP

  • Nurse Practitioner
  • Clyde, TX
National Provider Identifier
1710474242
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP137333 Issued in TX
Practice address
1712 N Access Rd
Clyde, TX 79510-3352
Phone
(325) 893-4010
Fax
(325) 893-4042
NPI assigned
Apr 19, 2018
Last updated
Apr 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP137333 TX Primary

Addresses

Primary practice location

1712 N Access Rd
Clyde, TX 79510-3352

Mailing address

235 12TH St
Hawley, TX 79525-3127
Phone (325) 660-0795

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
I20180523002659 TX Practitioner - Nurse Practitioner 5991060873 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians
Abilene Family Medical Associates LLPGroup PAC ID 1850523580, 10 clinicians

Practice addresses (Care Compare)

1712 N Access Rd
Clyde, TX 79510-3352
Phone (325) 893-4010

4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411

6417 Central Park Blvd
Abilene, TX 79606-5884
Phone (325) 695-6370

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shackelford County Community Resource Center CurrentSince May 1, 2018 Accepting new patients
Shackelford County Community Resource Center CurrentSince May 1, 2018 Accepting new patients
Abilene Family Medical Associates LLP CurrentSince Dec 1, 2025 Accepting new patients
Communities of Texas Healthcare, LLP CurrentSince Dec 1, 2025 Accepting new patients

Locations

6417 Central Park Blvd
Abilene, TX 79606
Phone (325) 695-6370

725 Pate St
Albany, TX 76430
Phone (325) 762-2447

2802 W Walker St
Breckenridge, TX 76424
Phone (254) 559-7215

1712 N Access Rd
Clyde, TX 79510
Phone (325) 893-4010

301 S Main St
Cross Plains, TX 76443
Phone (254) 725-4311

217 Edwards
Merkel, TX 79536
Phone (325) 928-0014

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20844/brand/1/csg/1/fhir/r4
  • Direct secure messaging: shayla.fine.1@28291.direct.athenahealth.com

Organizations & group practices 4

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 3

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": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1710474242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 12TH ST",
            "city": "HAWLEY",
            "state": "TX",
            "postal_code": "795253127",
            "telephone_number": "325-660-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 N ACCESS RD",
            "city": "CLYDE",
            "state": "TX",
            "postal_code": "795103352",
            "telephone_number": "325-893-4010",
            "fax_number": "325-893-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINE",
        "first_name": "SHAYLA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP137333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clyde, TX

Sources for this page

Verify at the official NPI Registry.