Individual provider Active NPI

Amy Earlene Shirley, APRN, FNP-C

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1770068330
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP183318 Issued in TX
Practice address
9800 N Beach St Ste 508
Fort Worth, TX 76244-6473
Phone
(817) 890-9111
NPI assigned
Sep 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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 AP183318 TX Primary

Addresses

Primary practice location

9800 N Beach St Ste 508
Fort Worth, TX 76244-6473

Mailing address

9800 N Beach St Ste 508
Fort Worth, TX 76244-6473
Phone (817) 890-9111

Other identifiers 1

IdentifierTypeStateIssuer
AP138813OtherTXAP LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@lsfptexas.com Health Information Exchange (HIE)

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
I20181031000686 TX Practitioner - Nurse Practitioner 5597018093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Care PLLCGroup PAC ID 7214840867, 363 clinicians

Practice addresses (Care Compare)

1711 Martin Dr
Weatherford, TX 76086-6738

6700 Buenos Aires Dr
N Richland Hills, TX 76180-6566
Phone (817) 281-8245

920 Santa Fe Dr
Suite 103
Weatherford, TX 76086-5865
Phone (817) 339-8855

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP183318TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Care, P.L.L.C. CurrentSince Apr 4, 2023 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Oct 29, 2018 Accepting new patients
Texas Health Physicians Group CurrentSince Oct 29, 2018 Accepting new patients
Texas Health Care, P.L.L.C. Current Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

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

4701 Boat Club Rd
Ste 200
Ft Worth, TX 76135
Phone (817) 237-0515

100 Bourland Rd
Ste 150
Keller, TX 76248
Phone (817) 753-6250

1110 FM 1189
Millsap, TX 76066
Phone (918) 253-1700

6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245

612 E Bailey Boswell Rd
Ste 200
Saginaw, TX 76131
Phone (817) 232-1343

1711 Martin Dr
Ste 100
Weatherford, TX 76086
Phone (817) 341-1300

920 Santa Fe Dr
Ste 103
Weatherford, TX 76086
Phone (817) 339-8855

Interoperability endpoints

  • Direct secure messaging: amy.shirley.p1@direct.thc.nextgenshare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1538265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1770068330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 N BEACH ST STE 508",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446473",
            "telephone_number": "817-890-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 N BEACH ST STE 508",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446473",
            "telephone_number": "817-890-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRLEY",
        "first_name": "AMY",
        "middle_name": "EARLENE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-30",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP183318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AP LICENSE NUMBER",
            "identifier": "AP138813",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@lsfptexas.com",
            "affiliation": "N",
            "endpointDescription": "HIE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9800 N Beach St Ste 508",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762446473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.