Active NPI
Shannon Kelly Hayes, M.D.
- Pediatric Adolescent Medicine Physician
- Houston, TX
National Provider Identifier
1952492837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- L6936
- Practice address
- 7900 Fannin St
Suite 3300
Houston, TX 77054-2934 - Phone
- (713) 630-0660
- Fax
- (713) 796-2555
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | L6936 | TX | Primary |
Addresses
Primary practice location
7900 Fannin St
Suite 3300
Houston, TX 77054-2934
Mailing address
7900 Fannin St
Suite 3300
Houston, TX 77054-2934
Phone (713) 630-0660
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178194001 | Medicaid | TX | |
| 383729011 | Other | TX | TAX ID |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L6936 | TX | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TCH Pediatric Associates, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Sugar Land, TX
- NPI 1861492654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952492837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7900 FANNIN ST",
"address_2": "SUITE 3300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770542934",
"telephone_number": "713-630-0660",
"fax_number": "713-796-2555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 FANNIN ST",
"address_2": "SUITE 3300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770542934",
"telephone_number": "713-630-0660",
"fax_number": "713-796-2555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "SHANNON",
"middle_name": "KELLY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "TX",
"license": "L6936",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "178194001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "383729011",
"state": "TX"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.