Individual provider Active NPI

Shalanda W. Stokes, APRN, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1881198323
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140359 Issued in TX
Practice address
1250 W Mockingbird LN Ste 550
Dallas, TX 75247-4902
Phone
(469) 904-3555
Fax
(214) 819-2405
NPI assigned
Mar 20, 2018
Last updated
May 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP140359 TX Primary
Registered Nurse 163W00000X 688807 TX

Addresses

Primary practice location

1250 W Mockingbird LN Ste 550
Dallas, TX 75247-4902

Mailing address

1250 W Mockingbird LN Ste 550
Dallas, TX 75247-4902
Phone (469) 904-3555

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
I20190709002411 TX Practitioner - Nurse Practitioner 2062425846 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
688807TXMDRegistered Nurse
AP140359TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA CurrentSince May 15, 2023 Accepting new patients
Carelon Medical Partners of Arizona, P.C. CurrentSince Sep 1, 2022 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince May 15, 2023 Accepting new patients

Locations

512 W Rosedale St
Fort Worth, TX 76104
Phone (817) 289-8263

448 Castroville Rd
San Antonio, TX 78207
Phone (210) 434-1400

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

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.

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1881198323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 W MOCKINGBIRD LN STE 550",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474902",
            "telephone_number": "469-904-3555",
            "fax_number": "214-819-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 W MOCKINGBIRD LN STE 550",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474902",
            "telephone_number": "469-904-3555",
            "fax_number": "214-819-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKES",
        "first_name": "SHALANDA",
        "middle_name": "W.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140359",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "688807",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.