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Angela Marie Shannon

Physician β€’ Arlington, TX

Deactivated NPI 1568776292 Deactivated in NPPES Female Practitioner
Practice location in NPPES

2205 W Division St, Suite A4
Arlington, TX 760123666

Phone: 8172771996

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of July 02, 2026; the reason is not published. The records below are historical. They do not show whether Angela Shannon currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date August 05, 2010
NPI Deactivation Date July 02, 2026
NPI Active Period 2010 – 2026

Practice Location & Contact Primary Location

Practice Address

2205 W Division St
Suite A4

Arlington, TX 760123666

Telephone 8172771996
Fax 8172771998

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Arlington and Texas

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Community/Behavioral Health Primary Specialty

NUCC Taxonomy Code: 251S00000X

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated July 02, 2026

NPPES lists this NPI as deactivated as of July 02, 2026; the reason is not published.

βœ…
NPI Profile Active August 05, 2010

NPI status registered as active in NPPES database

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Practice Location (Initial Record) August 05, 2010

Registered at 2205 W DIVISION ST, SUITE A4, ARLINGTON, TX 760123666 (Tel: 8172771996)

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Business Mailing Address (Initial Record) August 05, 2010

Registered at 2205 W DIVISION ST, SUITE A4, ARLINGTON, TX 760123666 (Tel: 8172771996)

πŸ‘€
Provider Name / Credentials (Initial Record) August 05, 2010

Recorded as ANGELA SHANNON

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2010

Community/Behavioral Health

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Initial NPI Registration & Enumeration August 05, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1568776292
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2010
Last Update: August 05, 2010
Deactivation Date: July 02, 2026

Mailing Address

2205 W Division St, Suite A4

Arlington, TX 760123666

Phone: 8172771996

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.