Shannon Clinic

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

SHANNON CLINIC

Practice address

2503 S Gregg St Ste C
Big Spring, TX 79720-6583

Phone

(432) 606-5178

Fax

(432) 606-5066

NPI assigned

Mar 5, 2026

Organization subpart

Yes

Parent organization

SHANNON CLINICAs reported in NPPES

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

Authorized official

Name

Ricardo Villarreal

Title

Cao

Phone

(325) 481-2200

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Shannon Clinic Reference Lab7 organizations share this tax ID, including this one

Part of

Shannon Clinic Reference Lab

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

• Shannon Clinic

  • Durable Medical Equipment & Medical Supplies
  • San Angelo, TX
  • NPI 1124038633
  NPD tax ID
• Shannon Clinic

  • Rural Health Clinic/Center
  • Ozona, TX
  • NPI 1245230465
  NPD tax ID
• Shannon Clinic

  • Customized Equipment (DME)
  • San Angelo, TX
  • NPI 1285946913
  NPD tax ID
• Shannon Clinic

  • Prosthetic/Orthotic Supplier
  • San Angelo, TX
  • NPI 1285954396
  NPD tax ID
• Shannon Clinic

  • Prosthetic/Orthotic Supplier
  • San Angelo, TX
  • NPI 1356752307
  NPD tax ID
• Shannon Clinic RP

  • Diagnostic Radiology Physician
  • San Angelo, TX
  • NPI 1285818849
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcie Dianne Lusk, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Big Spring, TX
  • NPI 1699009001
  NPD (past)

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

{
    "created_epoch": "1772668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1003762899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22000",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769027200",
            "telephone_number": "325-747-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 S GREGG ST STE C",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797206583",
            "telephone_number": "432-606-5178",
            "fax_number": "432-606-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHANNON CLINIC",
        "enumeration_date": "2026-03-05",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "325-481-2200"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Blair Searcy, PHARM.D.
• Nina Marie Serra
• Ted Mack Seymore, O.D.
• Mark Seymour
• Kimberly Ann Shafer, R.N., F.N.P.-B.C.
• Shannon Medical Center
• Shared Smiles PLLC
• Jan Renet Shaw, M.ED., LPC-A
• Shroff Cardiology & Internal Medicine Clinic PA
• Manish Shroff, M.D.

• All providers in Big Spring, TX
• Rural Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.