Individual provider Active NPI

Shannon Dia Mims, APRN, FNP-C

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1316371578
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP123896 Issued in TX
Practice address
13284 Pond Springs Rd Ste 402
Austin, TX 78729-7182
Phone
(512) 243-6929
NPI assigned
Aug 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.24871 SC
Family Nurse Practitioner 363LF0000X AP123896 TX Primary

Addresses

Primary practice location

13284 Pond Springs Rd Ste 402
Austin, TX 78729-7182

Mailing address

213 Barton Oak TRL
Georgetown, TX 78628-3697
Phone (512) 680-1360

Other practice location 1

1001 Little Oak Way
Round Rock, TX 78681-5517
Phone (512) 255-8868

Other practice location 2

13625 Ronald W Reagan Blvd Bldg 6
Cedar Park, TX 78613-2073
Phone (512) 336-2777

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN.24871SCMDFamily Nurse Practitioner
AP123896TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Health Partners PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: shannon.mims.1@11316.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11316/brand/5/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1316371578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 BARTON OAK TRL",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283697",
            "telephone_number": "512-680-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13284 POND SPRINGS RD STE 402",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787297182",
            "telephone_number": "512-243-6929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Little Oak Way",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786815517",
            "country_code": "US",
            "telephone_number": "512-255-8868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13625 Ronald W Reagan Blvd Bldg 6",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786132073",
            "country_code": "US",
            "telephone_number": "512-336-2777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIMS",
        "first_name": "SHANNON",
        "middle_name": "DIA",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-23",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN.24871",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP123896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.