Shiloh Healthcare

Primary specialty

Family PsychologistTaxonomy code 103TF0000X

Legal business name

SHILOH HEALTHCARE

Practice address

124 River Oaks Dr Ste 120
Southlake, TX 76092-7083

Phone

(682) 412-0131

NPI assigned

Nov 7, 2024

Organization subpart

No

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

Authorized official

Name

Zian T Omene, NP

Title

Owner

Phone

(682) 412-0131

Specialties & licenses 1

Addresses

Other names 1

• Shiloh Health Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Madison Alysse Kemp, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Southlake, TX
  • NPI 1194655589
  NPD (past)

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1962225847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 PARKVIEW DR STE 207A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761025814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 RIVER OAKS DR STE 120",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927083",
            "telephone_number": "682-412-0131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 Parkview Dr Ste 207A",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761025814",
            "country_code": "US",
            "telephone_number": "652-412-0131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHILOH HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "OMENE",
        "authorized_official_first_name": "ZIAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-412-0131",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shiloh Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara R Shelton, LMFT-A
• Sarah Shelton, OTR
• Christina Maria Shen, DO
• Lauren Ashley Shepherd, PA
• Kylen Sherrod
• Sofia Shimpi
• Sarah Leilani Shirey
• Tiana Shivers, LPC
• Joshua Shoffit
• Anna Maria Shute, FNP-BC

• Family Psychologist in Southlake, TX
• Providers in Southlake, TX by specialty
• Family Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.