SHANNON HUEBEL KEITH (NPI# 1447767819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447767819 |
| Entity Type | Individual |
| Full Name | SHANNON HUEBEL KEITH |
| Other Name | SHANNON HUEBEL |
| Credential | FNP-C |
| Practice Address |
2555 Jimmy Johnson Blvd Port Arthur TX 77640-2007 |
| Mailing Address |
200 Corporate Blvd Lafayette LA 70508-3870 |
| Practice Telephone | 4098535400 |
| Mailing Telephone | 8008939698 |
| Enumeration Date | 2018-01-06 |
| Last Update Date | 2019-05-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP136641 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962067025 | Shannon Keith | Counselor | 1388 Juniata River Rd, Williamsburg, PA 16693-6936 | 2019-05-04 |
| 1881113694 | Shannon Renee Keith | Developmental Therapist | 345a Greenwood Street, Suite B, Worcester, MA 01607 | 2017-09-12 |
| Street Address |
2555 JIMMY JOHNSON BLVD |
| City | PORT ARTHUR |
| State | TX |
| Zip Code | 77640-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861467573 | The Medical Center of Southeast Texas Lp | Clinic/Center | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2006-02-17 |
| 1265046726 | Sharonda Renee Mouton | Social Worker | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2020-09-02 |
| 1164031258 | Julie Vuong Tran | Registered Nurse | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2020-07-24 |
| 1639798374 | Diem Vo | Student in an Organized Health Care Education/Training Program | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2020-04-13 |
| 1447731955 | Donna Larkins Mitchell | Nurse Practitioner | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2018-08-23 |
| 1598252413 | Jennifer Ann Wilson | Specialist/Technologist, Other | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2018-04-16 |
| 1598264616 | Connor Patrick O'shaughnessy | Dietitian, Registered | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2018-02-04 |
| 1093213555 | Stephanie Rae Dodson | Dietitian, Registered | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640 | 2018-01-30 |
| 1598271405 | Millennium Neonatolgy Pllc | Pediatrics | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2017-12-15 |
| 1336659044 | Darla Denise Booth | Specialist/Technologist, Other | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2017-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275031676 | Grupo Segovia Sc | Specialist | 101 Calle Primera Sur, Adolfo Lopez Mateos, Cozumel, QUINTANA ROO 77640 | 2018-01-31 |
| 1811495575 | Total Care Medical, Pllc | Clinic/Center | 8035 Memorial Blvd Ste B, Port Arthur, TX 77640 | 2018-01-29 |
| 1750805586 | Bv Continuing Care Center Ltd. Co. | Skilled Nursing Facility | 8595 Medical Center Blvd., Port Arthur, TX 77640 | 2017-08-02 |
| 1053840561 | Centro Medico De Cozumel Sa De Cv | General Acute Care Hospital | Calle 1ra Sur No. 101 Adolfo Lopez Mateo, Cozumel, QUINTANA ROO 77640 | 2017-06-08 |
| 1306391719 | Hector Trevino | Dentist | 2780 Fm 365, Port Arthur, TX 77640 | 2016-08-16 |
| 1316325616 | Gulfside Dental Port Arthur Pllc | Dentist | 2780 Hwy 365, Suite C, Port Arthur, TX 77640 | 2015-05-07 |
| 1962894782 | Chris Hale | Specialist/Technologist, Other | 6361 Katy Av, Port Arthur, TX 77640 | 2015-03-03 |
| 1396157681 | Jack 1 Foundation Inc. | Day Training, Developmentally Disabled Services | 235 Procter St., Port Arthur, TX 77640 | 2014-05-21 |
| 1205275054 | Gulf Coast Health Center, Inc | Clinic/Center | 601 Rev Ransom Howard, Bldg B, Port Arthur, TX 77640 | 2013-06-14 |
| 1285909432 | Costamed | General Acute Care Hospital | Calle Primera Sur No. 101, Cozumel, QR 77640 | 2012-03-20 |
| Find all providers in zip 77640 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965752 | Linda Tran | Nurse Practitioner | 7600 Springmeadow Ln, Port Arthur, TX 77642-6550 | 2020-02-24 |
| 1578947552 | Jessica Marie Valka | Nurse Practitioner | 2001 9th Ave Ste 102, Port Arthur, TX 77642-2704 | 2015-07-19 |
| 1992789630 | Beverly A St Julien | Nurse Practitioner | 3705 9th Ave, Port Arthur, TX 77642-4423 | 2005-12-06 |
| 1851934079 | Mary Ryan Tinnel | Nurse Practitioner | 1946 9th Ave, Port Arthur, TX 77642-2762 | 2019-10-21 |
| 1649764168 | Denise Craig | Nurse Practitioner | 8455 9th Ave Ste A, Port Arthur, TX 77642-8021 | 2018-06-18 |
| 1417456500 | Courtney Beth Keeney | Nurse Practitioner | 2875 Jimmy Johnson Blvd Ste 100, Port Arthur, TX 77640-2002 | 2018-02-05 |
| 1972930840 | Pro Med Providers LLC | Nurse Practitioner | 2001 9th Ave, Suite 102, Port Arthur, TX 77642-2701 | 2013-10-08 |
| 1437499522 | Chau My Tran | Nurse Practitioner | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2013-02-26 |
| 1780920249 | Reginald W Savoie | Nurse Practitioner | 2001 9th Ave, Suite 102, Port Arthur, TX 77642-2701 | 2013-01-02 |
| 1477802775 | Susanna Elizabeth Bloss | Nurse Practitioner | 3600 Gates Blvd, Port Arthur, TX 77642-3858 | 2012-08-31 |
| Find all providers in PORT ARTHUR | ||||
| City | PORT ARTHUR |
| Zip Code | 77640 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.