Individual provider Active NPI

Shannon Thibodeaux Schreiber, CRNA

  • Certified Registered Nurse Anesthetist
  • Houston, TX
National Provider Identifier
1013249093
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
718693 Issued in TX
Practice address
11800 Astoria Blvd
Houston, TX 77089-6041
Phone
(713) 559-6929
NPI assigned
Feb 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 718693 TX Primary

Addresses

Primary practice location

11800 Astoria Blvd
Houston, TX 77089-6041

Mailing address

2537 S Gessner Rd
Suite 200
Houston, TX 77063-2032
Phone (713) 559-6929

Other names 1

  • Miss Shannon Marie Thibodeaux Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100415000442 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709913288 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texans Anesthesia Associates PLLCGroup PAC ID 8820171390, 197 clinicians

Practice addresses (Care Compare)

333 N Texas Ave
Suite 1000
Webster, TX 77598-4962
Phone (713) 400-2990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Texans Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2011 Accepting new patients
Harlingen Anesthesia Associates Past Accepting new patients
Harlingen Anesthesia Associates Nurse Anesthetist, Certified Registered PastSince Feb 1, 2003 Accepting new patients

Locations

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

1631 North Loop W
Ste 300
Houston, TX 77008
Phone (713) 343-1080

7700 Fannin St
Houston, TX 77054
Phone (713) 790-1349

21720 Kingsland Blvd
Ste 101
Katy, TX 77450
Phone (281) 492-1234

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

15300 Southwest Fwy
Ste 100
Sugar Land, TX 77478
Phone (281) 274-6670

333 N Texas Ave
Ste 1000
Webster, TX 77598
Phone (281) 557-5620

Organizations & group practices 4

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": "1265068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1013249093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 S GESSNER RD",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632032",
            "telephone_number": "713-559-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 ASTORIA BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896041",
            "telephone_number": "713-559-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHREIBER",
        "first_name": "SHANNON",
        "middle_name": "THIBODEAUX",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-02",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "718693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "THIBODEAUX",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.