Shannon K Gayles

Primary specialty

Pathology TechnicianTaxonomy code 246R00000X

Practice address

10225 Wortham Blvd
15203
Houston, TX 77065

Phone

(281) 942-6430

NPI assigned

Jun 18, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1285203893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10225 WORTHAM BLVD APT 15203",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653045",
            "telephone_number": "281-942-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 WORTHAM BLVD",
            "address_2": "15203",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77065",
            "telephone_number": "281-942-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYLES",
        "first_name": "SHANNON",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246R00000X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "246R00000X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Charlene Docdocil Gayas, PT
• Mam D Gaye
• Andrew Gayed, DMD
• George Shelton Gayle IV, DDS
• Shaneil Gayle
• Edward Leonard Gayou, M.D.
• Bianca Alyssa Gaytan, LPC
• Diana Gaytan
• Juana Gaytan
• Alexander Joseph Gazda, DO

• Pathology Technician in Houston, TX
• Providers in Houston, TX by specialty
• Pathology Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.