MR. MICHAEL JAMES SHANNON ATP
NPI 1922480326
Technician, Other in Tyler, TX

Active since June 22, 2015
12406 STATE HIGHWAY 155 S, TYLER, TX 75703(903) 592-8931(903) 592-8922 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 25, 2024, Jun 20, 2024, Nov 30, 2020 (3 updates tracked since 2020).

About Mr. Michael James Shannon Atp NPPES

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

MR. MICHAEL JAMES SHANNON ATP (NPI 1922480326) is an individual technician, other provider in Tyler, Texas, licensed in Texas (85900) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1922480326
Entity TypeIndividualMale
Primary Taxonomy247200000X
Provider Legal NameMR. MICHAEL JAMES SHANNONCredential: ATP
Location Address12406 STATE HIGHWAY 155 STyler, TX 75703-6446
Mailing Address2407 Wsw Loop 323Tyler, TX 75701 · (903) 581-8844 · Fax (909) 581-9845
Fax(903) 592-8922
Sole ProprietorYes
Enumeration DateJune 22, 2015
Last NPPES UpdateAugust 28, 20243 updates tracked since enumeration
NPPES CertifiedAugust 28, 2024
NPI 1922480326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
License Licensed in TX · 85900
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
12406 STATE HIGHWAY 155 S, Tyler, TX 75703

Other Providers at the Same Location NPPES

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

Durable Medical Equipment & Medical Supplies (Customized Equipment)
12406 STATE HIGHWAY 155 S
TYLER, TX 75703

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 Michael Shannon's NPI number?

The NPI number for Michael Shannon is 1922480326. It was assigned to this individual provider in the NPPES registry on June 22, 2015.

Where is Michael Shannon located?

Michael Shannon practices at 12406 State Highway 155 S, Tyler, TX 75703. The listed phone number is (903) 592-8931.

What is Michael Shannon's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Michael Shannon was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.