Shane Sullaway
NPI 1366738320 · Other Technician · Grand Prairie, TX
Shane Sullaway is a Other Technician provider in Grand Prairie, TX (NPI 1366738320).
Provider details
- NPI number
- 1366738320
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-06-28
- Last updated
- 2011-06-28
Frequently asked questions
- What is Shane Sullaway's NPI number?
- Shane Sullaway's National Provider Identifier (NPI) is 1366738320, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Sullaway's specialty?
- Shane Sullaway is listed in the NPPES registry with a primary specialty of Other Technician (Technologists, Technicians & Other Technical Service Providers).
- Where is Shane Sullaway located?
- Shane Sullaway's practice location on file with NPPES is 2100 N Highway 360, Grand Prairie, TX 75050-1011.
- What is Shane Sullaway's phone number?
- The practice phone number listed in the NPPES registry for Shane Sullaway is (972) 647-8567.
- Is Shane Sullaway's NPI active?
- Yes — Shane Sullaway's NPI (1366738320) is active in the NPPES registry as of the last update on 2011-06-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.