Active NPI
Shatawn Price
- Family Nurse Practitioner
- Henderson, NV
National Provider Identifier
1356145825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 887147
- Practice address
- 1050 W Galleria Dr
Henderson, NV 89011-4800 - Phone
- (702) 963-7000
- Fax
- (000) 000-0000
- NPI assigned
- Apr 3, 2025
- Last updated
- May 29, 2025
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 887147 | NV | Primary |
Addresses
Primary practice location
1050 W Galleria Dr
Henderson, NV 89011-4800
Mailing address
2181 De Narvik Dr
Henderson, NV 89044-0466
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
| License | State | Type | Specialty |
|---|---|---|---|
| 887147 | NV | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1356145825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2181 DE NARVIK DR",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890440466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 W GALLERIA DR",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890114800",
"telephone_number": "702-963-7000",
"fax_number": "000-000-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "SHATAWN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-03",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "887147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.