SHANNON RENEE FAULKINBERRY MD, MPH
NPI 1104246545
Pediatrics - Pediatric Critical Care Medicine in Shreveport, LA

Q: What is Shannon Faulkinberry's NPI number?

The NPI number for Shannon Faulkinberry is 1104246545. It was assigned to this individual provider in the NPPES registry on April 24, 2014. The provider is also known as Shannon Renee Wells MD, Mph.

Q: What is Shannon Faulkinberry's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Active since April 24, 2014PECOS Enrolled

2510 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71118(318) 212-5665(318) 212-5698 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2025, Aug 15, 2024, Aug 11, 2020 and 1 more (4 updates tracked since 2020).

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About Shannon Renee Faulkinberry Md, Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON RENEE FAULKINBERRY MD, MPH (NPI 1104246545) is an individual pediatric critical care medicine provider in Shreveport, Louisiana, licensed in Florida (ME144400) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1104246545

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameSHANNON RENEE FAULKINBERRYCredential: MD, MPH

Location Address2510 BERT KOUNS INDUSTRIAL LOOPShreveport, LA 71118-3119

Mailing Address2510 Bert Kouns Industrial LoopShreveport, LA 71118-3119 · (318) 212-5665 · Fax (318) 212-5698

Phone(318) 212-5665

Fax(318) 212-5698

Sole ProprietorYes

Enumeration DateApril 24, 2014

Last NPPES UpdateJanuary 10, 20254 updates tracked since enumeration

NPPES CertifiedJanuary 10, 2025

✔ NPI 1104246545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in FL · ME144400

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

2510 BERT KOUNS INDUSTRIAL LOOP, Shreveport, LA 71118

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Other Names 1

Former Name (1)Shannon Renee Wells Md, Mph

Secondary Practice Location 1

Location 192 W Miller StOrlando, FL 32806-2032 · Phone (321) 841-5104 · Fax (321) 841-6871

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Renee Faulkinberry Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BILLY B MILLER III CRNA

Nurse Anesthetist, Certified Registered

2510 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118

Caddo Parish (318) 212-5000

WILLIS KNIGHTON MEDICAL CENTER, INC.

General Acute Care Hospital

2510 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118

Caddo Parish (318) 212-5003

DR. PATRICK TIMOTHY GALLAGHER SR. M.D.

Emergency Medicine

2510 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118

Caddo Parish (318) 212-5500

WK BEHAVIORAL HEALTH SERVICES

Psychiatry & Neurology (Psychiatry)

2510 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118

Caddo Parish (318) 212-5200

MRS. SARAH HATFIELD NNP

Nurse Practitioner (Neonatal, Critical Care)

2510 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118

Caddo Parish (318) 212-5416

DAVID R EASTERLING MD

Emergency Medicine

2510 BERT KOUNS INDUSTRIAL LOOP
SHREVPORT, LA 71118

Caddo Parish (318) 212-5500

G BRENT WHITTON MD AND WILLIS-KNIGHTON MEDICAL CENTER

Pediatrics (Neonatal-Perinatal Medicine)

2510 BERT KOUNS INDUSTRIAL LOOP, ROOM 215
SHREVEPORT, LA 71118

Caddo Parish (318) 212-5970

DR. MICHAEL J SULLIVAN MD

Emergency Medicine

2510 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118

Caddo Parish (504) 834-2062

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Faulkinberry's NPI number?

The NPI number for Shannon Faulkinberry is 1104246545. It was assigned to this individual provider in the NPPES registry on April 24, 2014. The provider is also known as Shannon Renee Wells MD, Mph.

Where is Shannon Faulkinberry located?

Shannon Faulkinberry practices at 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118. The listed phone number is (318) 212-5665.

What is Shannon Faulkinberry's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Shannon Faulkinberry enrolled in Medicare?

Yes. Shannon Faulkinberry is registered in the Medicare PECOS enrollment system.

What insurance does Shannon Faulkinberry accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Shannon Faulkinberry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Faulkinberry was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.