Individual provider Active NPI

Shatona Vanetta Johnson

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
National Provider Identifier
1104064831
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP117671 Issued in TX
Practice address
5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone
(214) 648-3111
NPI assigned
Feb 3, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP117671 TX Primary

Addresses

Primary practice location

5323 Harry Hines Blvd
Dallas, TX 75390-7201

Mailing address

4434 10TH St
Bacliff, TX 77518-2217
Phone (281) 549-6447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090602000701 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436209079 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endo Sedation LLCGroup PAC ID 4789845363, 289 clinicians
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians
Hendrick Anesthesia NetworkGroup PAC ID 3274521281, 99 clinicians

Practice addresses (Care Compare)

1015 W Medical Ctr Blvd
Suite 1200
Webster, TX 77598-4055
Phone (281) 554-3494

1400 8TH Ave
Fort Worth, TX 76104-4110

1900 Pine St
Abilene, TX 79601-2432
Phone (325) 670-2000

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

Hospital & facility affiliations

  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229
  • Baylor Scott and White All Saints Medical Center Hospital, Fort Worth, TX, CCN 450137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Texans Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2019 Accepting new patients
Utmb Faculty Group Practice CurrentSince Oct 17, 2012 Accepting new patients
Bios Anesthesia PLLC CurrentSince Oct 7, 2024 Accepting new patients
Compass Anesthesia Providers PLLC CurrentSince Jul 31, 2020 Accepting new patients
Bahec LLC CurrentSince May 24, 2020 Accepting new patients
Hendrick Anesthesia Network CurrentSince Jun 1, 2025 Accepting new patients
Champion Anesthesia Consultants, PLLC CurrentSince Mar 20, 2023 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 16, 2019 Accepting new patients
Hpanesthesia PLLC CurrentSince Jan 12, 2020 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 16, 2019 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

751 N 18th St
Abilene, TX 79601
Phone (915) 676-0557

4201 Garth Rd
Ste 212
Baytown, TX 77521
Phone (281) 420-9355

11990 N Central Expy
Dallas, TX 75243
Phone (469) 624-5752

1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

444 FM 1959 Rd
#A
Houston, TX 77034
Phone (281) 481-9400

2001 Hermann Dr
Houston, TX 77004
Phone (713) 285-5500

970 Campbell Rd
Houston, TX 77024
Phone (713) 461-3547

510 W Tidwell Rd
Houston, TX 77091
Phone (281) 618-8500

1631 North Loop W
Ste 300
Houston, TX 77008
Phone (713) 343-1080

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

17510 W Grand Pkwy S
Ste 200
Sugar Land, TX 77479
Phone (281) 238-1600

1211 Highway 6
Ste 70
Sugar Land, TX 77478
Phone (281) 238-3902

1211 Highway 6
Sugar Land, TX 77478
Phone (281) 238-3900

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

1015 W Medical Center Blvd
Ste 1200
Webster, TX 77598
Phone (281) 554-3494

1015 W Medical Center Blvd
Ste 1500
Webster, TX 77598
Phone (281) 557-3223

333 N Texas Ave
Webster, TX 77598
Phone (281) 335-1700

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1104064831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4434 10TH ST",
            "city": "BACLIFF",
            "state": "TX",
            "postal_code": "775182217",
            "telephone_number": "281-549-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753907201",
            "telephone_number": "214-648-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHATONA",
        "middle_name": "VANETTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-03",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP117671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.