Individual provider Active NPI

Stacey Lynn Sheon, MSOTR

  • Pediatric Occupational Therapist
  • Houston, TX
National Provider Identifier
1952329872
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
114441 Issued in TX
Practice address
11777 Katy Fwy
Houston, TX 77079-1703
Phone
(281) 558-5437
Fax
(281) 558-5443
NPI assigned
Jul 18, 2006
Last updated
Jan 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 114441 TX Primary

Addresses

Primary practice location

11777 Katy Fwy
Houston, TX 77079-1703

Mailing address

11777 Katy Fwy
Houston, TX 77079-1703

Other identifiers 1

IdentifierTypeStateIssuer
91174848MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
114441TXMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1952329872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11777 KATY FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11777 KATY FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791703",
            "telephone_number": "281-558-5437",
            "fax_number": "281-558-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEON",
        "first_name": "STACEY",
        "middle_name": "LYNN",
        "credential": "MSOTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "114441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91174848",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.