JUSTIN SHANKS (NPI# 1205477874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205477874 |
| Entity Type | Individual |
| Full Name | JUSTIN SHANKS |
| Credential | FNP-C |
| Practice Address |
1218 Century Dr Midland TX 79703-6914 |
| Practice Telephone | 4329347527 |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F09191673 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235581307 | Justin Shanks | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Tamu2 - 303a, Temple, TX 76508-0001 | 2016-07-12 |
| 1700265220 | Justin Shanks | Behavioral Analyst | 9813 Sw 33rd St, Yukon, OK 73099-3494 | 2015-05-29 |
| Street Address |
1218 CENTURY DR |
| City | MIDLAND |
| State | TX |
| Zip Code | 79703-6914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124637160 | Rachel Murphy | Dietitian, Registered | 4214 Andrews Highway, Suite 107, Midland, TX 79703 | 2020-07-27 |
| 1740819994 | Hunter Occupational Solution | Clinic/Center | 4311 Andrews Hwy., Midland, TX 79703 | 2020-04-08 |
| 1467920413 | Megan Boxberger | Physical Therapy Assistant | 2501 W Illinois, Midland, TX 79703 | 2018-11-07 |
| 1982186219 | Veronica Yero | Occupational Therapy Assistant | 800 Beal Pkwy, Midland, TX 79703 | 2018-09-04 |
| 1801304480 | Alyssa Wennerlind | Counselor | 3701 Andrews Hwy., Midland, TX 79703 | 2018-01-17 |
| 1447797014 | Dickerson Dallas Pain On Pa | Specialist | 4311 Andrews Hwy, Midland, TX 79703 | 2017-01-20 |
| 1790236198 | Foursquare Texas 16, LLC | Skilled Nursing Facility | 801 South Loop 250 West, Midland, TX 79703 | 2016-10-20 |
| 1578974754 | West Texas Endocrinology & Diabetes Pa | Internal Medicine | 3305 Andrews Hwy Ste B1, Midland, TX 79703 | 2014-05-09 |
| 1295969699 | Ramakrishna Thokala | Internal Medicine | 3302 W Golf Course Rd Ste 100, Midland, TX 79703 | 2009-05-13 |
| 1699959569 | City of Midland | Public Health or Welfare | 3303 W Illinois, Sp 22, Midland, TX 79703 | 2007-12-27 |
| Find all providers in zip 79703 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679170732 | Infinity Health and Wellness LLC | Nurse Practitioner | 1028 Andrews Hwy Ste G, Midland, TX 79701-3815 | 2020-10-02 |
| 1659984771 | Amy Pennington | Nurse Practitioner | 5710 San Miguel Ave, Midland, TX 79705-2226 | 2020-08-28 |
| 1821607219 | Alena Vladimirovna Turner | Nurse Practitioner | 1210 Cedar Creek Rd, Midland, TX 79705-4471 | 2020-07-30 |
| 1235748880 | Emily Brooke Combs | Nurse Practitioner | 10100 E County Road 103, Midland, TX 79706-5494 | 2020-07-29 |
| 1154949378 | Sheila Shepherd | Nurse Practitioner | 2505 Goddard Dr, Midland, TX 79705-3308 | 2020-07-14 |
| 1073149464 | Stephanie Parker Black | Nurse Practitioner | 1101 W Illinois Ave, Midland, TX 79701-6156 | 2020-03-17 |
| 1003441460 | Kendra Denise Alexander | Nurse Practitioner | 911 West Texas Ave, Midland, TX 79701 | 2020-03-06 |
| 1265081616 | Stephanie Crawford | Nurse Practitioner | 3408 W County Road 185, Midland, TX 79706-7843 | 2019-09-09 |
| 1548819048 | Stella Elizabeth May | Nurse Practitioner | 1101 E County Road 128, Midland, TX 79706-6521 | 2019-09-06 |
| 1942766092 | Lisa Amber Hernandez | Nurse Practitioner | 400 Rosalind Redfern Grover Pkwy Fl 3, Midland, TX 79701-5846 | 2019-02-13 |
| Find all providers in MIDLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.