Individual provider Active NPI

Sarah Shawgo, FNP

  • Family Nurse Practitioner
  • Tyler, TX
National Provider Identifier
1265072466
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143445 Issued in TX
Practice address
805 S Broadway Ave
Tyler, TX 75701-1609
Phone
(903) 630-9170
NPI assigned
Jan 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP143445 TX Primary
Nurse Practitioner 363L00000X APRN11004976 FL

Addresses

Primary practice location

805 S Broadway Ave
Tyler, TX 75701-1609

Mailing address

5707 Andover Dr
Tyler, TX 75707-6191
Phone (903) 452-1341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN11004976FLMDNurse Practitioner
AP143445TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Azalea CurrentSince Dec 7, 2025 Accepting new patients
Collins Complete Family Care Family PastSince Dec 7, 2025 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1265072466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5707 ANDOVER DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757076191",
            "telephone_number": "903-452-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011609",
            "telephone_number": "903-630-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAWGO",
        "first_name": "SARAH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143445",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11004976",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.