Active NPI
Shannon Kimberley Haines, MD
- Neonatal-Perinatal Medicine Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 2024011381
- Practice address
- 2401 Gillham Rd
Kansas City, MO 64108-4619 - Phone
- (816) 234-3000
- Fax
- (816) 302-9939
- NPI assigned
- May 29, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 2024011381 | MO | Primary |
| Pediatrics Physician | 208000000X | 8262 | NE | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 04-49034 | KS |
Addresses
Primary practice location
2401 Gillham Rd
Kansas City, MO 64108-4619
Mailing address
2401 Gillham Rd
Provider Enrollment Dept
Kansas City, MO 64108-4619
Phone (816) 701-5200
Other practice location 1
982185 Nebraska Medical Ctr
Omaha, NE 68198-2185
Phone (402) 559-5380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of Nebraska College of Medicine, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Chicago, IL 60677
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-49034 | KS | MD | Neonatal-Perinatal Medicine Physician |
| 2024011381 | MO | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Via Christi Hospitals Wichita Inc. | Pediatrics | Current | Accepting new patients |
| Ascension Via Christi Hospitals Wichita Inc. | Current | Accepting new patients | |
| Nebraska Medical Center | Past | Accepting new patients | |
| Truman Medical Center, Incorporated | Past | Accepting new patients | |
| The Children'S Mercy Hospital | Past | Accepting new patients | |
| Ascension Via Christi Hospitals Wichita Inc. | Past | Accepting new patients |
Locations
14800 W Saint Teresa St
Wichita, KS 67235
Phone (316) 268-6976
929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396
3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426
Interoperability endpoints
- https://api.platform.athenahealth.com/20807/brand/4/csg/1/fhir/r4
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Wichita, KS
- NPI 1871589333
Pediatrics
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
- Land Ambulance
- Wichita, KS
- NPI 1548097165
-
- Children's Hospital
- Kansas City, MO
- NPI 1366515488
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1467595793
-
- General Acute Care Hospital
- Wichita, KS
- NPI 1154314789
-
- Children's Hospital
- Omaha, NE
- NPI 1164641312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1972094712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 GILLHAM RD",
"address_2": "PROVIDER ENROLLMENT DEPT",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641084619",
"telephone_number": "816-701-5200",
"fax_number": "816-302-9939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 GILLHAM RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641084619",
"telephone_number": "816-234-3000",
"fax_number": "816-302-9939"
}
],
"practiceLocations": [
{
"address_1": "982185 Nebraska Medical Ctr",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681982185",
"country_code": "US",
"telephone_number": "402-559-5380",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAINES",
"first_name": "SHANNON",
"middle_name": "KIMBERLEY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-29",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "MO",
"license": "2024011381",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NE",
"license": "8262",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "KS",
"license": "04-49034",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.