MS. SHANNON NICOLE GIBSON (NPI# 1730562190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730562190 |
| Entity Type | Individual |
| Full Name | MS. SHANNON NICOLE GIBSON |
| Credential | P.A.-C |
| Practice Address |
21770 Kingsland Blvd Katy TX 77450-2513 |
| Practice Telephone | 2816460740 |
| Mailing Telephone | 2816460740 |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2015-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 588159 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699157784 | Shannon Gibson | Massage Therapist | 131 Pinnacle Pl, Durango, CO 81301-7815 | 2015-06-24 |
| 1285931980 | Shannon Gibson | Licensed Practical Nurse | 6431 Graceland Ave, Cincinnati, OH 45237-4405 | 2011-02-16 |
| 1407046600 | Shannon Brooke Gibson | Family Medicine | 411 Union St, Jonesboro, AR 72401-2834 | 2007-07-25 |
| 1972135135 | Shannon Gibson | Behavior Technician | 140 S Beach St Ste 310, Daytona Beach, FL 32114-4409 | 2020-02-06 |
| 1790332732 | Shannon Leigh Gibson | Social Worker | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2019-08-23 |
| Street Address |
21770 KINGSLAND BLVD |
| City | KATY |
| State | TX |
| Zip Code | 77450-2513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033205224 | Quyen Trinh | Family Medicine | 21770 Kingsland Blvd, Katy, TX 77450-2513 | 2006-10-05 |
| 1710480298 | Elizabeth Pruett | Nurse Practitioner | 21770 Kingsland Blvd, Katy, TX 77450-2513 | 2018-03-12 |
| 1598265886 | Saba Zabarah | Registered Nurse | 21770 Kingsland Blvd, Katy, TX 77450-2513 | 2018-02-13 |
| 1124568225 | Jenny Phan | Physician Assistant | 21770 Kingsland Blvd, Katy, TX 77450-2513 | 2017-03-08 |
| 1699127159 | Jay Mangum | Chiropractor | 21770 Kingsland Blvd, Katy, TX 77450-2513 | 2016-07-08 |
| 1558791798 | Innovus Health, Pllc | Orthopaedic Surgery | 21770 Kingsland Blvd, Katy, TX 77450-2513 | 2013-11-26 |
| 1053592949 | Trang Thuy Trinh, Md, Pa | Family Medicine | 21770 Kingsland Blvd, Katy, TX 77450-2513 | 2007-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639652555 | O'brien Counseling Services, Inc. | Counselor | 21368 Provincial Blvd., Katy, TX 77450 | 2018-09-07 |
| 1306327275 | Renova Wellness Clinic | Counselor | 468 Park Grove Ln, Katy, TX 77450 | 2018-08-28 |
| 1639661556 | Health Care Senior Pllc | Family Medicine | 21702 Balsam Brook Ln, Katy, TX 77450 | 2018-06-06 |
| 1679081012 | Mason Sleep & Diagnostics | Clinic/Center | 462 S Mason Rd, Suite 400, Katy, TX 77450 | 2018-01-19 |
| 1508379900 | Mason Diagnostic Imaging | Clinic/Center | 462 S Mason Road, Suite 400, Katy, TX 77450 | 2017-11-08 |
| 1376055384 | Stella Dental Vk Pllc | Dentist | 21040 Highland Knolls Drive, Suite 100, Katy, TX 77450 | 2017-10-31 |
| 1598286031 | Ammon Zukeran Dc Inc | Chiropractor | 416 Park Grove Ln, Katy, TX 77450 | 2017-07-06 |
| 1588191571 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 777 S Fry Rd Ste 208, Katy, TX 77450 | 2017-05-22 |
| 1629527395 | Christine Margaret Gholston | Counselor | 472 Park Grove, Katy, TX 77450 | 2016-09-23 |
| 1598213928 | Kristina Reyes | Counselor | 633 E. Fernhust Dr., Ste 501, Katy, TX 77450 | 2016-09-14 |
| Find all providers in zip 77450 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598397275 | Dioscar J Delgado | Physician Assistant | 23902 Rottino Dr, Katy, TX 77493-3645 | 2020-02-10 |
| 1134779440 | Destin Knowles Vantyle | Physician Assistant | 1259 Fm 1463 Rd # 500, Katy, TX 77494-5470 | 2019-09-18 |
| 1144881871 | Hannah Elizabeth Kinne | Physician Assistant | 1903 Garden Terrace Dr, Katy, TX 77494-7546 | 2019-06-24 |
| 1386109064 | Avani Mukesh Mehta | Physician Assistant | 21700 Kingsland Blvd Ste 104, Katy, TX 77450-2546 | 2019-02-06 |
| 1508338385 | Wafa Mehdi | Physician Assistant | 24215 Kingsland Blvd, Katy, TX 77494-2976 | 2018-12-18 |
| 1063919413 | Andre'lyn T Williams | Physician Assistant | 21022 Creek Edge Ct, Katy, TX 77449-4065 | 2018-04-11 |
| 1124532726 | Katherine Helen Carr | Physician Assistant | 23920 Katy Fwy Ste 560, Katy, TX 77494-0902 | 2017-11-20 |
| 1053714782 | Melanie Farrell | Physician Assistant | 21820 Kingsland Blvd Ste 101, Katy, TX 77450 | 2014-10-08 |
| 1538568506 | Cameron Perry | Physician Assistant | 3919 N Fry Rd, Katy, TX 77449-6731 | 2014-08-15 |
| 1922311646 | Trent A Renfrow | Physician Assistant | 700 Westgreen Blvd, Suite 300, Katy, TX 77450-2799 | 2010-07-22 |
| Find all providers in KATY | ||||
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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.