Shannon Graham, RN,CNS
Shannon Graham, RN,CNS is a Psychiatric/Mental Health Clinical Nurse Specialist in Del Rio, TX, registered under NPI 1649490665. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 400 QUAIL CREEK DR, Del Rio, TX 78840. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 504390 | TX | Psychiatric/Mental Health Clinical Nurse… primary |
This provider holds licence 504390 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Psychiatric/Mental Health covers
Definition to come... NUCC Health Care Provider Taxonomy, code 364SP0808X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1649490665 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 1, 2007 |
| Last updated | Jul 8, 2007 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | RN,CNS |
| Practice address |
400 QUAIL CREEK DR Del Rio, TX 78840 (830) 778-1509 Fax (830) 778-1509 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 4 | 9 | 4 | 9 | 0 | 6 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 8 | 9 | 8 | 9 | 0 | 6 | 3 |
Sum = 75 · next multiple of 10 = 80 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.