Individual provider Active NPI

Shanna Saul

  • Family Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1972063147
Registry record updated Jan 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
832675 Issued in TX
Practice address
711 N Taylor St
Amarillo, TX 79107-5279
Phone
(806) 418-6966
NPI assigned
Mar 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2020

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 832675 TX Primary

Addresses

Primary practice location

711 N Taylor St
Amarillo, TX 79107-5279

Mailing address

3585 County Road 21
Hereford, TX 79045-8253

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
I20200115002316 TX Practitioner - Nurse Practitioner 2961837117 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
FMC LTC Aco LLCGroup PAC ID 3678013729, 22 clinicians
FMC Long-Term Care PAGroup PAC ID 7416380423, 23 clinicians

Practice addresses (Care Compare)

2501 Lakeview Dr
Amarillo, TX 79109-1531
Phone (806) 350-8277

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
832675TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FMC Long-Term Care, P.a. Family CurrentSince Jun 19, 2025 Accepting new patients
FMC LTC Aco LLC CurrentSince Jun 1, 2025 Accepting new patients
Joy Medical Clinic PLLC PastSince May 10, 2019 Accepting new patients

Locations

2501 Lakeview Dr
Amarillo, TX 79109
Phone (806) 350-7325

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15538/brand/2/csg/1/fhir/r4

Organizations & group practices 3

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 2

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": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578096000000",
    "number": "1972063147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 COUNTY ROAD 21",
            "city": "HEREFORD",
            "state": "TX",
            "postal_code": "790458253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N TAYLOR ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791075279",
            "telephone_number": "806-418-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUL",
        "first_name": "SHANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2020-01-04",
        "certification_date": "2020-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "832675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.