Shannon Lynn Havens, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP134280 Issued in TX

Practice address

22659 Highway 59 N Ste 140
Kingwood, TX 77339-4504

Phone

(281) 973-4159

NPI assigned

Jun 27, 2017

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Doctors Express of the Beaumont Area PAGroup PAC ID 5698816882, 211 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Doctors Express of the Beaumont Area PA

  • Urgent Care Clinic/Center
  • Beaumont, TX
  • NPI 1841525235
  Medicare reassignment Care Compare group NPD
• Emrd Ventures, PLLC

  • Urgent Care Clinic/Center
  • Livingston, TX
  • NPI 1851092092
  Medicare reassignment NPD
• Khan & Mujeeb Urgent Care Group

  • Urgent Care Clinic/Center
  • Baytown, TX
  • NPI 1629305446
  Medicare reassignment NPD
• Khan and Mujeeb PLLC

  • Primary Care Clinic/Center
  • Baytown, TX
  • NPI 1750618070
  Medicare reassignment NPD
• Radiant Dermatology and Aesthetics PLLC

  • Dermatology Physician
  • Kingwood, TX
  • NPI 1760843494
  Medicare reassignment NPD
• Ucp Physicians of Central Texas, PLLC

  • Urgent Care Clinic/Center
  • Georgetown, TX
  • NPI 1922289412
  Medicare reassignment NPD
• Urgent Health Solutions PLLC- Greater Houston Series

  • Urgent Care Clinic/Center
  • New Caney, TX
  • NPI 1932537826
  Medicare reassignment NPD
• Urgent Health Solutions, PLLC

  • Urgent Care Clinic/Center
  • Lufkin, TX
  • NPI 1164621934
  Medicare reassignment NPD
• Southlake Doctors Express, PA PSC

  • Urgent Care Clinic/Center
  • Southlake, TX
  • NPI 1942519335
  NPD
• Ucp Physicians of Central Texas, PLLC

  • Urgent Care Clinic/Center
  • Austin, TX
  • NPI 1154472967
  NPD

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498521600000",
    "number": "1144740416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22659 HIGHWAY 59 N STE 140",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394504",
            "telephone_number": "281-973-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22659 HIGHWAY 59 N STE 140",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394504",
            "telephone_number": "281-973-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVENS",
        "first_name": "SHANNON",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2017-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP134280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ammar Hasan, MD
• Ali Hasnie, DPT
• Kathleen Hassel, M.D.
• David Neal Hastings Jr., DDS
• Terry G Hatherley, MS, LPC
• Kirsten Hayes, RPH
• Steven Hayes, LCSW
• Melody Ann Haywood
• HBP Leaseco, L.L.C.
• Healing Hands Rehabilitation, LLC

• Nurse Practitioner in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; 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.
• 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.