Individual provider Active NPI

Shannon Marie Canales, MPH, RD, LD

  • Registered Dietitian
  • Humble, TX
National Provider Identifier
1104661131
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT87878 Issued in TX
Practice address
18835 McKay Dr
Humble, TX 77338-5505
Phone
(713) 909-0847
NPI assigned
Jul 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT87878 TX Primary

Addresses

Primary practice location

18835 McKay Dr
Humble, TX 77338-5505

Mailing address

18835 McKay Dr
Humble, TX 77338-5505
Phone (713) 909-0847

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240814003750 TX Practitioner - Registered Dietitian Or Nutrition Professional 7113465766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rajiv Agarwal MD PAGroup PAC ID 6305184011, 21 clinicians

Practice addresses (Care Compare)

18980 W Memorial Dr
Suite 100
Humble, TX 77338-4559
Phone 8326448930120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rajiv Agarwal MD PA CurrentSince Jul 1, 2024 Accepting new patients
Rajiv Agarwal MD PA CurrentSince Jul 7, 2024 Accepting new patients
Cardiovascular Care Providers, Inc. PastSince Jul 7, 2024 Accepting new patients

Locations

18980 N Memorial Dr
Ste 100
Humble, TX 77338
Phone (512) 652-8384

18835 McKay Dr
Humble, TX 77338
Phone (832) 644-8930

18980 W Memorial Dr
Ste 100
Humble, TX 77338
Phone (832) 644-8930

Interoperability endpoints

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

Organizations & group practices 3

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": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1104661131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18835 MCKAY DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385505",
            "telephone_number": "713-909-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18835 MCKAY DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385505",
            "telephone_number": "713-909-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANALES",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "MPH, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT87878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.