Individual provider Active NPI

Shataniel M Taylor, NP

  • Family Nurse Practitioner
  • Cypress, TX
National Provider Identifier
1346740974
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1092647 Issued in TX
Practice address
11811 Snowberry Dr
Cypress, TX 77429-2893
Phone
(832) 964-5198
NPI assigned
Feb 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 924751 TX
Family Nurse Practitioner 363LF0000X 1092647 TX Primary

Addresses

Primary practice location

11811 Snowberry Dr
Cypress, TX 77429-2893

Mailing address

8190 Barker Cypress Rd Ste 1900-589
Cypress, TX 77433-1223
Phone (832) 582-1068

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
I20230608003057 TX Practitioner - Nurse Practitioner 7012374846 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1092647TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Physician Associates CurrentSince Feb 24, 2023 Accepting new patients
Welltrackone Corporation CurrentSince May 1, 2025 Accepting new patients
Openloop Healthcare Partners PC CurrentSince May 1, 2025 Accepting new patients
Neighborhood Nurse Family Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Brazos Medical Center Past Accepting new patients

Locations

615 W Johnson Ave
Ste 202
Cheshire, CT 06410
Phone (203) 695-7057

8270 Woodland Center Blvd
#110112
Tampa, FL 33614
Phone (804) 200-7348

500 Ala Moana Blvd
Ste 7
Honolulu, HI 96813

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

2300 W Sahara Ave
Ste 800
Las Vegas, NV 89102
Phone (702) 234-3311

80 Broad St
Fl 5
New York, NY 10004
Phone (201) 286-1122

32 Office Park Rd
Ste 215
Hilton Head Island, SC 29928
Phone (515) 417-3515

4500 Mercantile Plaza Dr
Ste 300
Ft Worth, TX 76137
Phone (469) 688-9501

6306 Fairbanks N Houston Rd
Ste 500
Houston, TX 77040
Phone (713) 732-4677

6302 Fairbanks N Houston Rd
Ste 500
Houston, TX 77040
Phone (832) 831-9094

6930 FM 1960 Rd W
Houston, TX 77069
Phone (713) 554-6300

180 N University Ave
Ste 270
Provo, UT 84601
Phone (385) 469-3731

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

Interoperability endpoints

  • Direct secure messaging: shataniel.taylor.1@25522.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1346740974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8190 BARKER CYPRESS RD STE 1900-589",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774331223",
            "telephone_number": "832-582-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11811 SNOWBERRY DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774292893",
            "telephone_number": "832-964-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SHATANIEL",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "924751",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1092647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.