Shannon Rebecca Prevette, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L5881 Issued in TX

Practice address

18414 US Highway 281 N Ste 104
San Antonio, TX 78259-7611

Phone

(305) 500-2027

Fax

(210) 495-5914

NPI assigned

Jul 7, 2005

Last updated

Dec 13, 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

Electronic endpoints 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Internal Medicine

Education

Brody School of Medicine at East Carolina University, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Conviva Medical Center Management of Texas, P.a.Group PAC ID 8729302278, 146 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hope Hospice Hospice, New Braunfels, TX, CCN 451522
• Vitas Healthcare of Texas LP Hospice, San Antonio, TX, CCN 451591

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shannon.prevette.1@29601.direct.athenahealth.com
• Direct secure messaging: shannon.prevette@conviva.eclinicaldirectplus.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.

• Conviva Medical Center Management of Texas, P.a.

  • Internal Medicine Physician
  • Live Oak, TX
  • NPI 1770988990

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Physician Primecare, Inc

  dba HealthTexas Medical Group of San Antonio

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1194791566

  Family Medicine

  NPD
• Centerwell Senior Primary Care (SC) PC

  dba CenterWell Senior Primary Care-Orchard Park

  • Internal Medicine Physician
  • Greenville, SC
  • NPI 1376907790

  Family Medicine

  NPD

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

• Hope Hospice

  • Community Based Hospice Care Agency
  • New Braunfels, TX
  • NPI 1982765244
  Care Compare affiliation
• Vitas Healthcare of Texas, L.P.

  • Community Based Hospice Care Agency
  • San Antonio, TX
  • NPI 1447399696
  Care Compare affiliation

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1780681510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262051",
            "telephone_number": "305-500-2027",
            "fax_number": "305-500-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18414 US HIGHWAY 281 N STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782597611",
            "telephone_number": "305-500-2027",
            "fax_number": "210-495-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVETTE",
        "first_name": "SHANNON",
        "middle_name": "REBECCA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L5881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shannon.prevette@conviva.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "18414 US Highway 281 N Ste 104",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782597611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anna Preston
• Lauren Preston
• Robert C Pretli, O.D.
• Lorena P Pretto, D.D.S.
• Ourania A Preventza, M.D.
• Benjamin Samuel Prewitt, DO
• Karen Lynn Prewitt, MA
• Samantha Riley Prewitt, DO
• Richard Prezas, MD
• Victoria Prezas, OTA

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.