KAILEY SHANNON
NPI 1114785029
Student in an Organized Health Care Education/Training Program in Amarillo, TX

Q: What is Kailey Shannon's NPI number?

The NPI number for Kailey Shannon is 1114785029. It was assigned to this individual provider in the NPPES registry on March 6, 2024.

Q: What is Kailey Shannon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kailey Shannon was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since March 06, 2024PECOS Enrolled

9201 TOWN SQUARE BLVD APT 4205, AMARILLO, TX 79119(210) 237-9274 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kailey Shannon NPPES

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

KAILEY SHANNON (NPI 1114785029) is an individual student in an organized health care education/training program in Amarillo, Texas and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114785029

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKAILEY SHANNON

Location Address9201 TOWN SQUARE BLVD APT 4205Amarillo, TX 79119-1664

Mailing Address9201 Town Square Blvd Apt 4205Amarillo, TX 79119-1664

Phone(210) 237-9274

Sole ProprietorNo

Enumeration DateMarch 6, 2024

NPPES CertifiedMarch 6, 2024

✔ NPI 1114785029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

9201 TOWN SQUARE BLVD APT 4205, Amarillo, TX 79119

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kailey Shannon 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.

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 Kailey Shannon's NPI number?

The NPI number for Kailey Shannon is 1114785029. It was assigned to this individual provider in the NPPES registry on March 6, 2024.

Where is Kailey Shannon located?

Kailey Shannon practices at 9201 Town Square Blvd Apt 4205, Amarillo, TX 79119. The listed phone number is (210) 237-9274.

What is Kailey Shannon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kailey Shannon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kailey Shannon was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.