Individual provider Active NPI

Shannon O'Neill, RN, FNP-C

  • Nurse Practitioner
  • Houston, TX
National Provider Identifier
1588960819
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP119231 Issued in TX
Practice address
1500 Citywest Blvd Ste 300
Houston, TX 77042
Phone
(713) 620-4000
Fax
(713) 458-4229
NPI assigned
Feb 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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 AP119231 TX
Nurse Practitioner 363L00000X AP119231 TX Primary

Addresses

Primary practice location

1500 Citywest Blvd Ste 300
Houston, TX 77042

Mailing address

PO Box 840853
Dallas, TX 75284-0853
Phone (713) 620-4000

Other practice location 1

2200 Park Bend Dr Bldg 1-201
Austin, TX 78758-5590
Phone (512) 416-7246

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120927000030 TX Practitioner - Nurse Practitioner 6709035215 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vivent Health IncGroup PAC ID 1052308376, 54 clinicians

Practice addresses (Care Compare)

104 E Highland Mall Blvd
Suite 100
Austin, TX 78752-3776
Phone (512) 648-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP119231TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas at Austin Dell Medical School Current Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Nurse Practitioner CurrentSince Jul 1, 2016 Accepting new patients
U S Anesthesia Partners of Texas, PA Nurse Practitioner CurrentSince Jul 1, 2016 Accepting new patients
University of Texas at Austin Dell Medical School CurrentSince Sep 1, 2019 Accepting new patients
The University of Texas at Austin CurrentSince Sep 1, 2019 Accepting new patients
Vivent Health Inc CurrentSince Nov 9, 2020 Accepting new patients
Vivent Health Inc CurrentSince Nov 9, 2020 Accepting new patients

Locations

104 E Highland Mall Blvd
Ste 100
Austin, TX 78752
Phone (512) 458-2437

1601 Trinity St
Austin, TX 78712
Phone (833) 882-2737

2200 Park Bend Dr
Bldg 1-201
Austin, TX 78758

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

1500 Citywest Blvd
Ste 300
Houston, TX 77042
Phone (713) 458-4185

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

10847 Kuykendahl Rd
Ste 150
The Woodlands, TX 77382
Phone (281) 292-5620

648 N Plankinton Ave
Ste 200
Milwaukee, WI 53203

Interoperability endpoints

  • Direct secure messaging: soneill319335@direct.ochin.org

Organizations & group practices 7

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": "1296691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1588960819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840853",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840853",
            "telephone_number": "713-620-4000",
            "fax_number": "713-458-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CITYWEST BLVD STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77042",
            "telephone_number": "713-620-4000",
            "fax_number": "713-458-4229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Park Bend Dr Bldg 1-201",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787585590",
            "country_code": "US",
            "telephone_number": "512-416-7246",
            "fax_number": "512-275-2833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "SHANNON",
        "credential": "RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-03",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP119231",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP119231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.