Individual provider Active NPI

Shannon Hempstead, MD

  • Emergency Medicine Physician
  • Columbia, MO
National Provider Identifier
1871974188
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2017036841 Issued in MO
Practice address
One Hospital Dr
Columbia, MO 65212-0001
Phone
(573) 884-4400
Fax
(573) 884-5994
NPI assigned
Jun 11, 2015
Last updated
Dec 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2017036841 MO Primary

Addresses

Primary practice location

One Hospital Dr
Columbia, MO 65212-0001

Mailing address

PO Box 843966
Kansas City, MO 64184-3966
Phone (573) 884-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180301001700 MO Practitioner - Emergency Medicine 5092026559 Reassigns benefits to 2 organizations
I20211116001034 TX Practitioner - Emergency Medicine 5092026559 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine CurrentSince Mar 1, 2018 Accepting new patients
Ripley Emergency Group, LLC Emergency Medicine CurrentSince Jul 16, 2020 Accepting new patients

Locations

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

315 S Osteopathy Ave
Kirksville, MO 63501
Phone (660) 785-1000

1515 Union Ave
Moberly, MO 65270
Phone (660) 263-2400

134 Menger Spgs
Boerne, TX 78006
Phone (830) 331-3000

12285 Bandera Rd
Helotes, TX 78023
Phone (210) 575-2285

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

1850 State Highway 46 W
Ste 109
New Braunfels, TX 78132
Phone (210) 757-5850

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

12805 W Interstate 10
San Antonio, TX 78249
Phone (210) 575-9805

250 E Basse Rd
Ste 101
San Antonio, TX 78209
Phone (210) 638-4159

5510 Presidio Pkwy
San Antonio, TX 78249
Phone (210) 452-4121

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

9211 Potranco Rd
San Antonio, TX 78251
Phone (210) 575-9211

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1871974188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843966",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641843966",
            "telephone_number": "573-884-3300",
            "fax_number": "573-884-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE HOSPITAL DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652120001",
            "telephone_number": "573-884-4400",
            "fax_number": "573-884-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMPSTEAD",
        "first_name": "SHANNON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2017036841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.