Shanda Ladawn Neve, AGPCNP-BC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

1059103 Issued in TX

Practice address

9250 Amberton Pkwy
Dallas, TX 75243-3224

Phone

(817) 250-4906

NPI assigned

Nov 21, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

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 and National Provider Directory roles.

• Inhome Connect of Fort Worth

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Plano, TX
  • NPI 1992437487
  Medicare reassignment NPD
• Physician Services of Jacksboro PA

  • Internal Medicine Physician
  • Jacksboro, TX
  • NPI 1457657371
  Medicare reassignment NPD
• Impact Care Physicians TX PLLC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1164378477

  TX

  Medicare reassignment
• Impact Specialty Solutions TX PLLC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1376499699

  TX

  Medicare reassignment
• Infinite Medical PC

  • Family Medicine Physician
  • Bristol, RI
  • NPI 1407483175

  TX

  Medicare reassignment
• Gerination Medical Centers, LLC

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1548661713
  NPD
• Heart to Heart Hospice of Fort Worth, LLC

  • Community Based Hospice Care Agency
  • Fort Worth, TX
  • NPI 1457495434
  NPD (past)

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

{
    "created_epoch": "1637452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1972260263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 BLACKBERRY DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760165007",
            "telephone_number": "817-880-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 AMBERTON PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433224",
            "telephone_number": "817-250-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVE",
        "first_name": "SHANDA",
        "middle_name": "LADAWN",
        "name_prefix": "Miss",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-21",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1059103",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1059103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neurowellness
• Simone Amanda Neuwelt, MD
• Nevaeh Home Health Care
• Nicole Michelle Nevarez, M.D.
• Seth Branson Neve
• Ronald Nevelow, L.C.S.W.
• Fantamafaye Nevels, PMHNP
• Janet D Nevil, LO, BOCO, CPED
• Neville Dental PA
• Neville Pharmacy

• Gerontology Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.