Shantrelle Lavigne is one of 1,896 nurse practitioners practicing in Dallas, Texas .
Shantrelle Lavigne practices with Wellmed Medical Group PA.
Registry record (NPPES)
NPI
1164183232
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
3107 W Camp Wisdom Rd Ste 170
Enumerated
Dec 31, 2021
Record last updated
Nov 10, 2022
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
3107 W Camp Wisdom Rd Suite 170 Wellmed At Redbird SquareDallas , TX 75237
6157 NW Loop 410 124 Wellmed At Ingram ParkSan Antonio , TX 78238
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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