Active NPI
Shaniqua Johnson Anum, MD
- Pediatric Hematology & Oncology Physician
- Houston, TX
National Provider Identifier
1508228453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- T6270
- Practice address
- 6701 Fannin St
Houston, TX 77030-2608 - Phone
- (832) 822-4242
- NPI assigned
- Mar 22, 2016
- Last updated
- Aug 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Pediatrics Physician | 208000000X | 125068492 | IL | |
| Pediatrics Physician | 208000000X | T6270 | TX | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | T6270 | TX | Primary |
Addresses
Primary practice location
6701 Fannin St
Houston, TX 77030-2608
Mailing address
1102 Bates Ave Ste C1570
Houston, TX 77030-2617
Phone (832) 824-4294
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T6270 | Other | TX | PHYSICIAN LICENSE |
Other names 1
- Shaniqua Chantel Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T6270 | TX | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Children's Hospital of Alabama | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Children's Health System
- Children's Hospital
- Birmingham, AL
- NPI 1205935012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1508228453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 BATES AVE STE C1570",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302617",
"telephone_number": "832-824-4294",
"fax_number": "832-825-9460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 FANNIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302608",
"telephone_number": "832-822-4242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANUM",
"first_name": "SHANIQUA",
"middle_name": "JOHNSON",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-22",
"last_updated": "2022-08-19",
"certification_date": "2022-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "125068492",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "T6270",
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "TX",
"license": "T6270",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN LICENSE",
"identifier": "T6270",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHANIQUA",
"last_name": "JOHNSON",
"middle_name": "CHANTEL",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.