Active NPI
Shalene Thomas, PA-C
- Physician Assistant
- San Antonio, TX
National Provider Identifier
1346804838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 12584
- Practice address
- 5109 Medical Dr Ste 200
San Antonio, TX 78229 - Phone
- (210) 982-0320
- NPI assigned
- Apr 30, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 12584 | TX | Primary |
Addresses
Primary practice location
5109 Medical Dr Ste 200
San Antonio, TX 78229
Mailing address
5109 Medical Dr Ste 200
San Antonio, TX 78229-5069
Phone (210) 982-0320
Other practice location 1
559 10th St Ste 1
Floresville, TX 78114-3166
Phone (830) 393-9152
Other practice location 2
1032 S Ww White Rd
San Antonio, TX 78220-2531
Phone (210) 447-3033
Other practice location 3
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Phone (210) 292-2003
Other names 1
- Ms. Shalene Mixter
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12584 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627862400000",
"number": "1346804838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5109 MEDICAL DR STE 200",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782295069",
"telephone_number": "210-982-0320",
"fax_number": "210-292-2052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5109 MEDICAL DR STE 200",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78229",
"telephone_number": "210-982-0320"
}
],
"practiceLocations": [
{
"address_1": "559 10th St Ste 1",
"address_purpose": "LOCATION",
"city": "Floresville",
"state": "TX",
"postal_code": "781143166",
"country_code": "US",
"telephone_number": "830-393-9152",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1032 S Ww White Rd",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782202531",
"country_code": "US",
"telephone_number": "210-447-3033",
"fax_number": "210-447-3036",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 Wilford Hall Loop Bldg 4554",
"address_purpose": "LOCATION",
"city": "Jbsa Lackland",
"state": "TX",
"postal_code": "782365638",
"country_code": "US",
"telephone_number": "210-292-2003",
"fax_number": "210-292-2052",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "SHALENE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-30",
"last_updated": "2021-08-02",
"certification_date": "2021-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "12584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHALENE",
"last_name": "MIXTER",
"prefix": "MS.",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.