Shane Cristina Concepcion, CNS

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

792002 Issued in TX

Practice address

1221 W Ben White Blvd Ste 100a
Austin, TX 78704-7792

Phone

(512) 440-5757

Fax

(512) 440-5858

NPI assigned

Feb 8, 2013

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

Certified Clinical Nurse Specialist (CNS)

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ashwin Gowda MD PAGroup PAC ID 9931275898, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11417/brand/1/csg/1/fhir/r4

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.

• Ashwin Gowda MD PA

  dba Texas Sleep Medicine

  • Sleep Medicine (Internal Medicine) Physician
  • Austin, TX
  • NPI 1992982532
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1982943015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W BEN WHITE BLVD STE 100A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047792",
            "telephone_number": "512-440-5757",
            "fax_number": "512-440-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W BEN WHITE BLVD STE 100A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047792",
            "telephone_number": "512-440-5757",
            "fax_number": "512-440-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCEPCION",
        "first_name": "SHANE",
        "middle_name": "CRISTINA",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-08",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "792002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Conaway, RDN
• Concentra Health Services, Inc.
• Concentra Health Services, Inc.
• Lourdes Alejandra Concepcion Calderon, RDN
• Constancio Concepcion, MD
• Samantha Concha, MS, RD
• Concierge Orthopedics
• Concierge Screening Solution
• Concord Clinic (Children's Clinic of Leander)
• Concordia University Texas (CUTX Sports Medicine)

• Adult Health Clinical Nurse Specialist in Austin, TX
• Providers in Austin, TX by specialty
• Adult Health Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.