Shannon Huebel Keith, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP136641 Issued in TX

Practice address

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640-2007

Phone

(409) 853-5400

NPI assigned

Jan 6, 2018

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 names 1

• Shannon Huebel Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Beaumont, TX
  • NPI 1841525235
  Medicare reassignment NPD
• Elite Hospital Partners, PLLC

  • Emergency Medicine Physician
  • Allen, TX
  • NPI 1609625995
  Medicare reassignment NPD
• Port Arthur Emergency Physicians

  • Emergency Medicine Physician
  • Port Arthur, TX
  • NPI 1255491627

  Nurse Practitioner

  Medicare reassignment NPD
• Southlake Doctors Express, PA PSC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Southlake, TX
  • NPI 1942519335
  NPD

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

{
    "created_epoch": "1515196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1447767819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 JIMMY JOHNSON BLVD",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402007",
            "telephone_number": "409-853-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "SHANNON",
        "middle_name": "HUEBEL",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-06",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP136641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "HUEBEL",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan Webster Jones, L.P.C.
• Therese Jones, PT
• K Williamson and a Williamson, P.a. (Williamson Family Medicine Associates)
• Ramesh R Karia, MD
• Courtney Beth Keeney, ANP-C
• Brooke Leigh Kelley, MSN WHNP-BC IBCLC
• Patrina Kemper
• Chris Wesley Kennaugh, D.D.S.
• Kenneth King Barton, DDS
• Scott David Kerr, D.C.

• Nurse Practitioner in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.