Brenda Shannon

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1047242 Issued in TX

Practice address

1000 Legacy Ranch Rd
Waxahachie, TX 75165-1293

Phone

(877) 868-2528

Fax

(877) 926-5332

NPI assigned

Nov 4, 2024

Last updated

Nov 4, 2024By 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

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Texas Pain Relief Group PLLCGroup PAC ID 2668603952, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Texas Pain Relief Group PLLC

  • Interventional Pain Medicine Physician
  • Hurst, TX
  • NPI 1003246299
  Medicare reassignment Care Compare group NPD
• Solar Health, P.a.

  • Interventional Pain Medicine Physician
  • Farmers Branch, TX
  • NPI 1376724948
  Medicare reassignment NPD
• Total Care 2 U, LLC

  • Internal Medicine Physician
  • Waxahachie, TX
  • NPI 1508320755
  Medicare reassignment NPD
• Solar Health, P.a.

  • Interventional Pain Medicine Physician
  • Rockwall, TX
  • NPI 1861966327
  NPD
• Texas Pain Relief Group, PLLC

  dba Florida Pain Relief Group

  • Interventional Pain Medicine Physician
  • Tampa, FL
  • NPI 1487028387
  NPD

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1871316265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LEGACY RANCH RD",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651293",
            "telephone_number": "877-868-2528",
            "fax_number": "877-926-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LEGACY RANCH RD",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651293",
            "telephone_number": "877-868-2528",
            "fax_number": "877-926-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "BRENDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1047242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan Michael Sells, MS, RDN, LD
• Senior Care Management (Pleasant Manor Health & Rehabilitation Center)
• Serenity Midwifery & Birth Center
• Seth Atkins, DDS, PLLC (Ellis County Family Dentistry)
• SH Opco Waxahachie LLC (Covenant Place of Waxahachie)
• Kandi Denise Shaw, LPC
• Ashlee N Sheafer, LPC
• Ivy Lea Shelmadine, PT, DPT
• Michelle Angelina Shelton, PA-C
• Christopher John Shorrock, AG-ACNP

• Family Nurse Practitioner in Waxahachie, TX
• Providers in Waxahachie, 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 Nov 4, 2024; 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.