Individual provider Active NPI

Hannah Shelton, D.O.

  • Family Medicine Physician
  • Conroe, TX
National Provider Identifier
1174902803
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R0498 Issued in TX
Practice address
303 Longmire Rd Unit 501
Conroe, TX 77304-2177
Phone
(936) 228-8187
Fax
(936) 309-0234
NPI assigned
May 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R0498 TX Primary

Addresses

Primary practice location

303 Longmire Rd Unit 501
Conroe, TX 77304-2177

Mailing address

303 Longmire Rd Unit 501
Conroe, TX 77304-2177
Phone (936) 228-8187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 4, 2019 through Jan 4, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
R0498TXMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: hannah.shelton@114406316834820.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1174902803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 LONGMIRE RD UNIT 501",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042177",
            "telephone_number": "936-228-8187",
            "fax_number": "936-309-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 LONGMIRE RD UNIT 501",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042177",
            "telephone_number": "936-228-8187",
            "fax_number": "936-309-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "HANNAH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R0498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.