NPI age
10 years
Enumerated 2015-06-22
● Active
Type 1 · Individual
MR. Michael James Shannon, ATP
Shannon is 1 of 13 technician, other providers in Tyler and 1 of 804 in Texas.
Primary specialty
Technician, Other
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-08-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 804 active technician, other providers in Texas.
NPI age
10 years
≈ at median (9 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties
NPI lifetime · 2015 → 2026
2015-06Enumerated in NPPES
2015
2026
Where they practice
Practice location
12406 State Highway 155 S
Tyler, TX 757036446
Mailing address
2407 Wsw Loop 323
Tyler, TX 75701
Specialties
-
Technician, Other PrimaryA 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...
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.