Individual provider Active NPI

Shashonne Price, FNP

  • Family Nurse Practitioner
  • Desoto, TX
National Provider Identifier
1295407187
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1034161 Issued in TX
Practice address
412 Summertree LN
Desoto, TX 75115-5839
Phone
(806) 283-3435
NPI assigned
Sep 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1034161 TX Primary

Addresses

Primary practice location

412 Summertree LN
Desoto, TX 75115-5839

Mailing address

412 Summertree LN
Desoto, TX 75115-5839
Phone (806) 283-3435

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
I20230323003083 TX Practitioner - Nurse Practitioner 7315311800 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strategic Medical Group TX PLLCGroup PAC ID 1355707423, 26 clinicians

Practice addresses (Care Compare)

6100 Harris Pkwy
Suite 1240
Fort Worth, TX 76132-4248
Phone (817) 789-6333

Hospital & facility affiliations

  • Methodist Charlton Medical Center Hospital, Dallas, TX, CCN 450723

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1034161TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Point - Desoto LLC Family CurrentSince Dec 10, 2022 Accepting new patients
Texas Health Physicians Group CurrentSince Feb 1, 2024 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Strategic Medical Group TX PLLC CurrentSince Apr 1, 2024 Accepting new patients
Texas Health Physicians Group CurrentSince Feb 1, 2024 Accepting new patients

Locations

3920 W Wheatland Rd
Ste 152
Dallas, TX 75237
Phone (214) 467-0432

1601 Elm St
Ste 4210
Dallas, TX 75201

1111 N Interstate 35 E
Desoto, TX 75115
Phone (469) 530-9220

6100 Harris Pkwy
Ste 1240
Fort Worth, TX 76132
Phone (817) 433-5155

4400 Oak Park Ln
Ft Worth, TX 76109
Phone (817) 207-9600

1517 E Rusk St
Jacksonville, TX 75766
Phone (903) 339-2370

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1295407187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 SUMMERTREE LN",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751155839",
            "telephone_number": "806-283-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 SUMMERTREE LN",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751155839",
            "telephone_number": "806-283-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "SHASHONNE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1034161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

Verify at the official NPI Registry.