Individual provider Active NPI

Shannon Reed, CNM, DNP

  • Advanced Practice Midwife
  • Terrell, TX
National Provider Identifier
1912401084
Registry record updated Apr 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP136964 Issued in TX
Practice address
109 Tejas Dr Ste 100
Terrell, TX 75160-6582
Phone
(972) 563-3334
NPI assigned
Mar 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X AP136964 TX Primary

Addresses

Primary practice location

109 Tejas Dr Ste 100
Terrell, TX 75160-6582

Mailing address

1551 Dogpatch Dr
Terrell, TX 75161-8165
Phone (520) 236-9599

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220613000768 TX Practitioner - Certified Nurse Midwife (CNM) 1557749017 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6201 Harry Hines Blvd
Dallas, TX 75235-5202
Phone (214) 633-5555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
AP136964TXMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Charles D Thompson MD PLLC Current Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Feb 5, 2024 Accepting new patients
Marie Hollis, M.D. PLLC CurrentSince Mar 1, 2022 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Feb 5, 2024 Accepting new patients
Obhg Texas Holdings, P.a. CurrentSince Nov 1, 2025 Accepting new patients

Locations

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

3900 Joe Ramsey Blvd E
Ste E
Greenville, TX 75401
Phone (903) 454-1722

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

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

Organizations & group practices 6

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": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649548800000",
    "number": "1912401084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 DOGPATCH DR",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751618165",
            "telephone_number": "520-236-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 TEJAS DR STE 100",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751606582",
            "telephone_number": "972-563-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "SHANNON",
        "name_prefix": "Dr.",
        "credential": "CNM, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-22",
        "last_updated": "2022-04-10",
        "certification_date": "2022-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "AP136964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terrell, TX

Sources for this page

Verify at the official NPI Registry.