NPIMap

Individual provider Active NPI

Shannon Laine Varner, PA-C

  • Physician Assistant
  • The Woodlands, TX
National Provider Identifier
1114354206
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
8000 Research Forest Dr Ste 360
The Woodlands, TX 77382-1559
Phone
(281) 292-1191
NPI assigned
Oct 3, 2013
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TX Primary

Addresses

Primary practice location

8000 Research Forest Dr Ste 360
The Woodlands, TX 77382-1559

Mailing address

8000 Research Forest Dr Ste 360
The Woodlands, TX 77382-1559
Phone (281) 292-1191

Other practice location 1

4775 W Panther Creek Dr
The Woodlands, TX 77381-3592
Phone (281) 292-1192

Other names 1

  • Miss Shannon Laine Williams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180611000417 TX Practitioner - Physician Assistant 1951656297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

17510 W Grand Pkwy S
Sugar Land, TX 77479-2649

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

8000 Research Forest Dr
Suite 360
The Woodlands, TX 77382-1559
Phone (281) 292-1192

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Mar 6, 2018 Accepting new patients
Panther Creek Medical Center P.a. Past Accepting new patients

Locations

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

4775 W Panther Creek Dr
Ste 345
The Woodlands, TX 77381
Phone (281) 292-1192

8000 Research Forest Dr
Ste 360
The Woodlands, TX 77382
Phone (281) 292-1191

Interoperability endpoints

  • Direct secure messaging: shannon.varner.1@8042.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1114354206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 RESEARCH FOREST DR STE 360",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773821559",
            "telephone_number": "281-292-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 RESEARCH FOREST DR STE 360",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773821559",
            "telephone_number": "281-292-1191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4775 W Panther Creek Dr",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773813592",
            "country_code": "US",
            "telephone_number": "281-292-1192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARNER",
        "first_name": "SHANNON",
        "middle_name": "LAINE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "WILLIAMS",
            "middle_name": "LAINE",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.