Individual provider Active NPI

Jennifer A Shannon, MD

  • Reproductive Endocrinology Physician
  • Plano, TX
National Provider Identifier
1548420631
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
S9602 Issued in TX
Practice address
6300 W Parker Rd Ste G28
Plano, TX 75093-8336
Phone
(469) 592-8557
Fax
(469) 592-8558
NPI assigned
Jun 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X S9602 TX Primary

Addresses

Primary practice location

6300 W Parker Rd Ste G28
Plano, TX 75093-8336

Mailing address

6300 W Parker Rd Ste G28
Plano, TX 75093-8336
Phone (469) 592-8557

Other practice location 1

5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone (214) 590-8036

Other practice location 2

320 W 10th Ave
Kennewick, WA 99336-6302
Phone (509) 221-5910

Other names 1

  • Jennifer A McNabb Former name

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

LicenseStateTypeSpecialty
S9602TXMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas-Fort Worth Fertility Associates, P.a. PastSince Sep 23, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jshannon81217@direct.phhs.org

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": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1548420631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 W PARKER RD STE G28",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938336",
            "telephone_number": "469-592-8557",
            "fax_number": "469-592-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 W PARKER RD STE G28",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938336",
            "telephone_number": "469-592-8557",
            "fax_number": "469-592-8558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753907201",
            "country_code": "US",
            "telephone_number": "214-590-8036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 W 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993366302",
            "country_code": "US",
            "telephone_number": "509-221-5910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "TX",
            "license": "S9602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MCNABB",
            "middle_name": "A",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.