Shanon Crisp, NP
Nurse Practitioner, Family in Plano, TX. Individual provider (NPI-1).
NPI number1013596865
StatusActive
Last updated in NPPESApr 7, 2021
Details
- NPI
- 1013596865
- Entity type
- Individual (NPI-1)
- Name
- Shanon Crisp
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 7, 2021
- Certification date
- Apr 7, 2021
- Last updated
- Apr 7, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1034155 | TX | Yes |
Practice location
1600 Coit Rd Ste 205Plano, TX 75075-6172
Phone 469-476-7810
Mailing address
4433 Early Morn DrPlano, TX 75093-3719
Phone 918-519-3717
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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