Individual provider Active NPI

Shannon Jaunita Walker, MD

  • Diagnostic Radiology Physician
  • Plano, TX
National Provider Identifier
1225086267
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
K8558 Issued in TX
Practice address
3901 W 15TH St
Plano, TX 75075
Phone
(972) 596-6800
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X K8558 TX Primary

Addresses

Primary practice location

3901 W 15TH St
Plano, TX 75075

Mailing address

1820 Preston Park Blvd
1200
Plano, TX 75093-3656
Phone (972) 867-7862

Other identifiers 2

IdentifierTypeStateIssuer
113665701MedicaidTX
89270ROtherTXCOLLIN COUNTY PTAN

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230327002080 TX Practitioner - Diagnostic Radiology 1254351158 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Mar 28, 2023 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Apr 17, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Mar 28, 2023 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Apr 17, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Mar 28, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Mar 28, 2023 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Mar 28, 2023 Accepting new patients
Health Imaging Partners, LLC CurrentSince Jul 24, 2023 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Mar 28, 2023 Accepting new patients
Health Imaging Partners, LLC CurrentSince Dec 20, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Mar 28, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 17, 2023 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Apr 17, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 17, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 17, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Mar 28, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Mar 28, 2023 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Apr 17, 2023 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Nov 13, 2023 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Mar 28, 2023 Accepting new patients
Health Imaging Partners, LLC CurrentSince Apr 23, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Mar 28, 2023 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Mar 28, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 17, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Mar 28, 2023 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Mar 28, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Mar 28, 2023 Accepting new patients
University Radiology Associates Diagnostic Radiology Past Accepting new patients
Open Diagnostic Imaging Past Accepting new patients

Organizations & group practices 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1225086267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 PRESTON PARK BLVD",
            "address_2": "1200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933656",
            "telephone_number": "972-867-7862",
            "fax_number": "972-612-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 W 15TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75075",
            "telephone_number": "972-596-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "SHANNON",
        "middle_name": "JAUNITA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "K8558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113665701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLLIN COUNTY PTAN",
            "identifier": "89270R",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.