Shelly Marie Daigle, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA09052 Issued in TX

Practice address

12550 Louetta Rd
Cypress, TX 77429-2139

Phone

(281) 257-7792

NPI assigned

Oct 7, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• MW Psychiatry PLLC

  • Psychiatry Physician
  • Houston, TX
  • NPI 1316485063
  Medicare reassignment
• Family Medicine Center of Reserve

  • Rural Health Clinic/Center
  • Reserve, LA
  • NPI 1780341271
  NPD (past)
• Robert C Albrecht MD

  • Family Medicine Physician
  • Reserve, LA
  • NPI 1982703575
  NPD (past)

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1083865133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12550 LOUETTA RD",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774292139",
            "telephone_number": "281-257-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12550 LOUETTA RD",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774292139",
            "telephone_number": "281-257-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAIGLE",
        "first_name": "SHELLY",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cypress Vision Optometry PLLC
• Cypress Women'S Center
• D.J. Rivera-Ogueri LLC
• Samaneh Maryam Daftarian, DDS
• Deanna Lynn Daigle, PA-C
• Sarah Dailey, M.A., LPC INTERN
• Charles Parker Dale
• Mark Faith Mondero Dalion, FNP-C
• Bonnie Ngoc Dang
• Phuong Bich Dang, MPH, RPH

• Physician Assistant in Cypress, TX
• Providers in Cypress, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.