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SHANNON ROBERTS
NPI 1568217784
Clinic/Center in Grand Prairie, TX

Active since April 22, 2024
2307 OAK LN STE 120, GRAND PRAIRIE, TX 75051(469) 999-5934 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Roberts NPPES

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

SHANNON ROBERTS (NPI 1568217784) is an individual clinic/center provider in Grand Prairie, Texas and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1568217784
Entity TypeIndividualFemale
Primary Taxonomy261Q00000X
Provider Legal NameSHANNON ROBERTS
Location Address2307 OAK LN STE 120Grand Prairie, TX 75051-4885
Mailing Address2307 Oak Ln Ste 120Grand Prairie, TX 75051-4885 · (469) 999-5934
Phone(469) 999-5934
Sole ProprietorYes
Enumeration DateApril 22, 2024
Last NPPES UpdateApril 24, 2024
NPPES CertifiedApril 24, 2024
✔ NPI 1568217784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2307 OAK LN STE 120, Grand Prairie, TX 75051
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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 Roberts's NPI number?

The NPI number for Shannon Roberts is 1568217784. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Where is Shannon Roberts located?

Shannon Roberts practices at 2307 Oak Ln Ste 120, Grand Prairie, TX 75051. The listed phone number is (469) 999-5934.

What is Shannon Roberts's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Shannon Roberts was last updated on April 24, 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.