Shelby Leigh Gnepper, ASA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

2583 Hall Johnson Rd Apt 423
Grapevine, TX 76051-7192

Phone

(817) 266-7308

NPI assigned

Jun 17, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245196800000",
    "number": "1811124787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2583 HALL JOHNSON RD APT 423",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517192",
            "telephone_number": "817-266-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2583 HALL JOHNSON RD APT 423",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517192",
            "telephone_number": "817-266-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GNEPPER",
        "first_name": "SHELBY",
        "middle_name": "LEIGH",
        "credential": "ASA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.