Shannon Ruth King, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1003557 Issued in TX

Practice address

1524 Guy Lane PLZ
Dumas, TX 79029-5542

Phone

(806) 948-1459

NPI assigned

Jul 20, 2020

Last updated

Nov 4, 2021By 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

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Moore County Hospital DistrictGroup PAC ID 1254226269, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital Hospital, Dumas, TX, CCN 451386

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Moore County Hospital District

  dba Memorial Hospital

  • Critical Access Hospital
  • Dumas, TX
  • NPI 1700991700
  Medicare reassignment Care Compare group NPD
• Moore County Hospital District

  dba Moore County Family Health Clinic

  • Rural Health Clinic/Center
  • Dumas, TX
  • NPI 1336537661
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Moore County Hospital District

  dba Memorial Hospital

  • Critical Access Hospital
  • Dumas, TX
  • NPI 1700991700
  Care Compare affiliation

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1679181283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 GUY LANE PLZ",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "790295542",
            "telephone_number": "806-948-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 GUY LANE PLZ",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "790295542",
            "telephone_number": "806-948-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "SHANNON",
        "middle_name": "RUTH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1003557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Suzanne Jones, MSN, FNP-BC, ENP-C,
• Angela Marie Jordan, PTA
• Shayna Renae Karmann, PT
• Joshua Patrick Kavanagh, OD
• Christine Kimbrell, MSPT
• Audrey Lamberson
• Lawrence Ray Boggs Jr (Boggs Chiropractic Clinic)
• Nancy Lynne Lewis, P.T.
• Carmen Leyva, LVN
• Johnnie Renee Lichtie, COTA

• Family Nurse Practitioner in Dumas, TX
• Providers in Dumas, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.