Individual provider Active NPI

Shawndra Dean Moore, FNP

  • Family Nurse Practitioner
  • Stanton, TX
National Provider Identifier
1821867714
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1151436 Issued in TX
Practice address
600 I-20 East
Stanton, TX 79782
Phone
(143) 252-8457
NPI assigned
Dec 20, 2023
Last updated
May 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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 1151436 TX Primary

Addresses

Primary practice location

600 I-20 East
Stanton, TX 79782

Mailing address

5514 N Big Spring St
Midland, TX 79705-2697
Phone (432) 316-2441

Other practice location 1

4705 Briarwood Avenue
Midland, TX 79707-2639
Phone (432) 505-4145

Other practice location 2

6950 Eastridge Road
Odessa, TX 79765-8971
Phone (432) 505-4145

Other practice location 3

6301 Andrews Hwy
Midland, TX 79706-3147
Phone (432) 505-4147

Other practice location 4

616 N Main Street
Andrews, TX 79714-5207
Phone (432) 505-4146

Other practice location 5

5514 N Big Spring Street
Midland, TX 79705-2697
Phone (432) 316-2441

Other practice location 6

3490 East Yukon Rd
Odessa, TX 79762-2010
Phone (432) 520-4086

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
I20240219003137 TX Practitioner - Nurse Practitioner 0749624625 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wes Tex Urgent Care PLLCGroup PAC ID 6305150863, 28 clinicians
Urgent Care Providers PLLCGroup PAC ID 6002341021, 23 clinicians

Practice addresses (Care Compare)

4705 Briarwood Ave
Midland, TX 79707-2639
Phone (432) 618-5215

5514 N Big Spring St
Midland, TX 79705-2697
Phone (432) 316-2441

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wes Tex Urgent Care, PLLC CurrentSince Nov 1, 2024 Accepting new patients
Martin County Hospital District CurrentSince May 23, 2025 Accepting new patients
Wes Tex Urgent Care PLLC CurrentSince Nov 1, 2019 Accepting new patients
C,L and W PLLC CurrentSince Feb 6, 2024 Accepting new patients
Martin County Hospital District CurrentSince May 23, 2025 Accepting new patients
Wes Tex Urgent Care, PLLC CurrentSince Nov 1, 2024 Accepting new patients
Wes Tex Urgent Care, PLLC Past Accepting new patients

Locations

4009 Ridgemont Dr
Abilene, TX 79606
Phone (325) 232-8830

616 N Main St
Andrews, TX 79714
Phone (432) 375-5247

710 S Gregg St
Fl First
Big Spring, TX 79720
Phone (432) 517-4692

210 W Longview Ave
Ste A
Midland, TX 79701
Phone (432) 789-1587

4705 Briarwood Ave
Midland, TX 79707
Phone (432) 505-4145

5514 N Big Spring St
Midland, TX 79705
Phone (432) 316-2441

6301 Andrews Hwy
Midland, TX 79706
Phone (432) 375-5247

3490 E Yukon Rd
Odessa, TX 79762
Phone (432) 375-5247

6950 Eastridge Rd
Odessa, TX 79765
Phone (432) 366-0207

600 E Interstate 20
Stanton, TX 79782
Phone (432) 607-3200

Interoperability endpoints

  • Direct secure messaging: shawndra.moore.1@26958.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1821867714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5514 N BIG SPRING ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797052697",
            "telephone_number": "432-316-2441",
            "fax_number": "833-428-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 I-20 EAST",
            "city": "STANTON",
            "state": "TX",
            "postal_code": "79782",
            "telephone_number": "143-252-8457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4705 Briarwood Avenue",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797072639",
            "country_code": "US",
            "telephone_number": "432-505-4145",
            "fax_number": "833-941-0864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6950 Eastridge Road",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797658971",
            "country_code": "US",
            "telephone_number": "432-505-4145",
            "fax_number": "833-941-0862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6301 Andrews Hwy",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797063147",
            "country_code": "US",
            "telephone_number": "432-505-4147",
            "fax_number": "833-449-4803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "616 N Main Street",
            "address_purpose": "LOCATION",
            "city": "Andrews",
            "state": "TX",
            "postal_code": "797145207",
            "country_code": "US",
            "telephone_number": "432-505-4146",
            "fax_number": "833-450-0805",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5514 N Big Spring Street",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797052697",
            "country_code": "US",
            "telephone_number": "432-316-2441",
            "fax_number": "833-428-1421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3490 East Yukon Rd",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797622010",
            "country_code": "US",
            "telephone_number": "432-520-4086",
            "fax_number": "833-972-5449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SHAWNDRA",
        "middle_name": "DEAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-20",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1151436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanton, TX

Sources for this page

Verify at the official NPI Registry.