Shannon Leigh Mooney, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

M0061 Issued in TX

Practice address

1001 Little Oak Way
Round Rock, TX 78681-5516

Phone

(512) 255-8868

NPI assigned

Nov 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shannon Duble Former name

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.

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

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

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.

• Austin Health Partners PLLC

  • Pediatrics Physician
  • Cedar Park, TX
  • NPI 1144724261
  NPD (past)
• Chisholm Trail Pediatrics Inc PA

  • Primary Care Clinic/Center
  • Georgetown, TX
  • NPI 1114112745
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1457428609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2089",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786272089",
            "telephone_number": "512-930-4776",
            "fax_number": "512-863-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 LITTLE OAK WAY",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815516",
            "telephone_number": "512-255-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "SHANNON",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M0061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "DUBLE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sergio Alberto Montano Jr., M.D.
• Rebecca E Montgomery, PMHNP-BC
• Topanga Montgomery
• William Joseph Montreuil
• Matthew Joseph Moody, PHARM.D.
• Stephanie Mooneyham, LCSW
• Melinda Moore Gottschalk
• Allison M Moore, DPT
• Carly Catherine Moore, BS
• Chanel L. Moore

• Pediatrics Physician in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; 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.