Shannon O. Campbell, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA01960 Issued in TX

Practice address

2499 S Capital of Texas Hwy
Building B, Suite 100
Austin, TX 78746-7762

Phone

(512) 328-7666

Fax

(512) 328-3547

NPI assigned

Dec 28, 2009

Last updated

Dec 28, 2009By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11027/brand/1/csg/1/fhir/r4
• Direct secure messaging: shannon.campbell.1@11027.direct.athenahealth.com

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.

• Bee Caves Pediatrics, P.a.

  • Specialist
  • Austin, TX
  • NPI 1306033956
  NPD (past)

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261958400000",
    "number": "1629308580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2499 S CAPITAL OF TEXAS HWY",
            "address_2": "BUILDING B, SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467762",
            "telephone_number": "512-328-7666",
            "fax_number": "512-328-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 S CAPITAL OF TEXAS HWY",
            "address_2": "BUILDING B, SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467762",
            "telephone_number": "512-328-7666",
            "fax_number": "512-328-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SHANNON",
        "middle_name": "O.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-28",
        "last_updated": "2009-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA01960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Campbell, DPT
• Patrick Campbell, DMD
• Ralph Richard Campbell, PH.D
• Renee Campbell, MA, LPC-ASSOCIATE
• Seth Lawrence Campbell, PHARM.D.
• Sidnie Campbell, LPC
• Suzanne Hirsch Campbell, R.N., MSN, CNS
• Traci Campbell, LCSW
• Virginia E Campbell, LMFT
• William Russell Campbell, LPC

• Medical Physician Assistant in Austin, TX
• Providers in Austin, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.