Active NPI
Shannon Elizabeth Payne, D.C., LMT
- Rehabilitation Chiropractor
- Manvel, TX
National Provider Identifier
1023320819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 11716
- Practice address
- 6830 Davy Crockett Dr
Manvel, TX 77578-3982 - Phone
- (832) 844-7192
- NPI assigned
- Jul 8, 2010
- Last updated
- Feb 20, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 11716 | TX | Primary |
Addresses
Primary practice location
6830 Davy Crockett Dr
Manvel, TX 77578-3982
Mailing address
6830 Davy Crockett Dr
Manvel, TX 77578-3982
Phone (832) 844-7192
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11716 | Other | TX | CHIROPRACTIC LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11716 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1023320819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6830 DAVY CROCKETT DR",
"city": "MANVEL",
"state": "TX",
"postal_code": "775783982",
"telephone_number": "832-844-7192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6830 DAVY CROCKETT DR",
"city": "MANVEL",
"state": "TX",
"postal_code": "775783982",
"telephone_number": "832-844-7192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "SHANNON",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "D.C., LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-08",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "TX",
"license": "11716",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC LICENSE",
"identifier": "11716",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manvel, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.