Individual provider Active NPI

Shantau A Valentine

  • Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1114770229
Registry record updated Jun 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1052371 Issued in TX
Practice address
910 N Davis Dr Ste 100
Arlington, TX 76012-3200
Phone
(945) 954-0574
Fax
(972) 957-5215
NPI assigned
Apr 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1052371 TX Primary

Addresses

Primary practice location

910 N Davis Dr Ste 100
Arlington, TX 76012-3200

Mailing address

910 N Davis Dr Ste 100
Arlington, TX 76012-3200
Phone (945) 954-0574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240729002103 TX Practitioner - Nurse Practitioner 9739625583 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arcure Medical Consulting PLLCGroup PAC ID 8820508674, 2 clinicians

Practice addresses (Care Compare)

910 N Davis Dr
Suite 100
Arlington, TX 76012-3200
Phone (945) 954-0574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1052371TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Roadway Primary Care PLLC CurrentSince Jun 24, 2025 Accepting new patients
Arcure Medical Consulting PLLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

910 N Davis Dr
Ste 100
Arlington, TX 76012
Phone (817) 265-8525

207 E Parkerville Rd
Desoto, TX 75115
Phone (385) 454-5027

2300 S Oak Grove Rd
Ennis, TX 75119
Phone (972) 875-8641

1400 Medical Center Dr
Ennis, TX 75119
Phone (972) 875-4800

2101 W Northgate Dr
Irving, TX 75062
Phone (972) 255-4460

1850 W Pleasant Run Rd
Lancaster, TX 75146
Phone (972) 275-1900

900 George Hopper Rd
Midlothian, TX 76065
Phone (972) 775-5105

151 Country Meadows Blvd
Waxahachie, TX 75165
Phone (254) 631-5342

2637 N Washington Blvd
Ogden, UT 84414
Phone (385) 244-0489

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751155200000",
    "number": "1114770229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 N DAVIS DR STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760123200",
            "telephone_number": "945-954-0574",
            "fax_number": "972-957-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N DAVIS DR STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760123200",
            "telephone_number": "945-954-0574",
            "fax_number": "972-957-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "SHANTAU",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-09",
        "last_updated": "2025-06-29",
        "certification_date": "2025-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1052371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.