Provider Type Icon

DR. DELPHINE K. SHANNON M.D. NPI 1609158260


NPI Information

NPI: 1609158260
Provider Name: DR. DELPHINE K. SHANNON, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
15429 ONEAL RD
GULFPORT, MS
ZIP 39503
Phone: (228) 206-0542
Get Directions

DR. Delphine K. Shannon, M.D. is a general practice in Gulfport, MS. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Delphine K. Shannon, M.D. NPI is 1609158260. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15429 ONEAL RD
GULFPORT, MS
ZIP 39503-731
Phone: (228) 206-0542
Fax: (228) 206-0550

The enumeration date for this NPI number is 9/9/2011 and was last updated on 9/6/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083B0002XPreventive MedicineObesity Medicine18668MISSISSIPPINo
22088F0040XUrologyFemale Pelvic Medicine and Reconstructive Surgery18668MISSISSIPPINo
3208D00000XGeneral Practice18668MISSISSIPPIYes
4171400000XHealth and Wellness Coach18668MISSISSIPPINo
5174H00000XHealth Educator18668MISSISSIPPINo
6202D00000XIntegrative Medicine18668MISSISSIPPINo
7207QB0002XFamily MedicineObesity Medicine18668MISSISSIPPINo
8207RB0002XInternal MedicineObesity Medicine18668MISSISSIPPINo
92080B0002XPediatricsObesity Medicine18668MISSISSIPPINo
10132700000XDietary Manager18668MISSISSIPPINo
11133N00000XNutritionist18668MISSISSIPPINo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.