Registry record
- NPI
- 1902422603
- Profession
- Nurse Practitioner (NP)
- Specialty
- Family Nurse Practitioner (363LF0000X)
- Practice address
- 5800 Kell Blvd Ste 500
Wichita Falls, TX 76310 - Phone
- 9402608976
- In the registry since
- June 18, 2020
- Last NPPES update
- October 23, 2024
- Sole proprietor
- No
- License
- 1017571 (TX)
At this location
This location lists no other NP or PA providers in our current data.
In context
The NPI number of Shane Statham is 1902422603. They are a Family Nurse Practitioner in Wichita Falls, Texas.
Shane Statham is one of 113 Family Nurse Practitioners in Wichita Falls and one of 22,499 across Texas in our data.
The NPI has been in the federal registry for 6 years, since June 18, 2020.
Frequently asked questions
What is NPI 1902422603?
NPI 1902422603 is the 10-digit National Provider Identifier assigned to Shane Statham, a Family Nurse Practitioner practicing in Wichita Falls, Texas. The record has been in the NPPES registry since June 18, 2020.
How do I verify this provider?
Cross-check NPI 1902422603 in the official CMS registry at npiregistry.cms.hhs.gov, and confirm license 1017571 with the TX licensing board. You can also run the number through our free NPI validator to confirm its checksum.
Is this information current?
This profile reflects the June 2026 NPPES data file. NPPES lists the record's last update as October 23, 2024. We refresh our data each month when CMS publishes a new file.
Data: NPPES public registry, June 2026 file. Not medical advice. Verify independently before care or credentialing decisions. Errors in the source record can be corrected at nppes.cms.hhs.gov; see our corrections page.