SHANNON MARIE CANALES (MPH, RD, LD) – Registered Dietitian, NPI 1104661131

SHANNON MARIE CANALES (MPH, RD, LD) is a healthcare provider. based in Montgomery, Texas. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials MPH, RD, LD. They hold a License No. DT87878 (TX). The NPI Number for SHANNON MARIE CANALES (MPH, RD, LD) is 1104661131

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON MARIE CANALES (MPH, RD, LD)
NPI
1104661131
Phone
(832) 458-8354
Address
134 PILAZZO ST
Enumeration Date
1 July 2024
Last Update Date
17 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8326448930120
Graduation Year
2022 (4 years ago)
PAC ID
7113465766
Group Practice PAC ID
6305184011
Professional Enrollment ID
I20240814003750
Address ID
TX773384559HU18980DRXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

529 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in TX

Provider Addresses for SHANNON MARIE CANALES (MPH, RD, LD)

  • 134 PILAZZO ST

    MONTGOMERY, TX 773161792

    Phone: (832) 458-8354

    Type: Mailing

  • 18980 N MEMORIAL DR STE 100

    HUMBLE, TX 773384498

    Phone: (832) 458-8354

    Type: Location

  • 18835 MCKAY DR

    HUMBLE, TX 773385505

    Phone: (713) 909-0847

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240814003750IRegistered Dietitian Or Nutrition ProfessionalTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77316)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305184011View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)TX
Nurse PractitionerTX
-TX
Cardiovascular Disease (Cardiology), Interventional CardiologyTX
Family PracticeMI
Family PracticeTX
Nurse PractitionerTX
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)TX
Cardiovascular Disease (Cardiology)IL
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyTX

Reviews

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Frequently asked questions

Does SHANNON MARIE CANALES (MPH, RD, LD) have a public NPI I can cite?
Public records show SHANNON MARIE CANALES (MPH, RD, LD) under NPI 1104661131.
Is SHANNON MARIE CANALES (MPH, RD, LD)'s NPI status active today?
Active status means SHANNON MARIE CANALES (MPH, RD, LD)'s NPI record is not deactivated in the public file.
What services align with SHANNON MARIE CANALES (MPH, RD, LD)'s listing?
SHANNON MARIE CANALES (MPH, RD, LD)'s public classification highlights Registered Dietitian. Clinical services aligned with this taxonomy classification.
What city is tied to SHANNON MARIE CANALES (MPH, RD, LD)?
The directory associates SHANNON MARIE CANALES (MPH, RD, LD) with Montgomery, Texas. Check all listed addresses for suites or satellite offices.
Who maintains SHANNON MARIE CANALES (MPH, RD, LD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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