Individual provider Active NPI

Shannon L McKeown, RN, FNP-C

  • Family Nurse Practitioner
  • Denton, TX
National Provider Identifier
1003313552
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136916 Issued in TX
Practice address
535 S Loop 288 Ste 1003
Denton, TX 76205-4503
Phone
(940) 349-2900
NPI assigned
Apr 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP136916 TX Primary

Addresses

Primary practice location

535 S Loop 288 Ste 1003
Denton, TX 76205-4503

Mailing address

535 S Loop 288 Ste 1003
Denton, TX 76205-4503
Phone (940) 349-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180509001884 TX Practitioner - Nurse Practitioner 7719241207 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Denton County Health Department CurrentSince Mar 19, 2018 Accepting new patients

Locations

535 S Loop 288
Ste 1003
Denton, TX 76205
Phone (940) 349-2900

190 N Valley Pkwy
Lewisville, TX 75067
Phone (972) 434-4700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBEBDA/Endpoint/FBEBDA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1003313552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 S LOOP 288 STE 1003",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762054503",
            "telephone_number": "940-349-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 S LOOP 288 STE 1003",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762054503",
            "telephone_number": "940-349-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEOWN",
        "first_name": "SHANNON",
        "middle_name": "L",
        "credential": "RN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.