Individual provider Active NPI

Shamanta Hamilton, NP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1417424318
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1020642 Issued in TX
Practice address
214 W Colorado Blvd
Dallas, TX 75208-2326
Phone
(214) 984-5616
NPI assigned
Oct 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X HAMI-MSKCMU MS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1020642 TX
Family Nurse Practitioner 363LF0000X 1020642 TX Primary

Addresses

Primary practice location

214 W Colorado Blvd
Dallas, TX 75208-2326

Mailing address

900 Lake Carolyn Pkwy Apt 240
Irving, TX 75039-4640
Phone (601) 761-0702

Other practice location 1

1747 Citadel Plz Ste 205
San Antonio, TX 78209-1017
Phone (210) 467-5395

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
I20250827000398 TX Practitioner - Nurse Practitioner 5698275287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total MD Physicians Group, PLLCGroup PAC ID 7012313521, 127 clinicians

Practice addresses (Care Compare)

2200 W University Dr
Suite 150
Denton, TX 76201-0029
Phone (940) 304-0189

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
HAMI-MSKCMUMSMDFamily Nurse Practitioner
1020642TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total MD Physicians Group, PLLC CurrentSince Aug 1, 2025 Accepting new patients
Mindful Innovations Counseling Services, PLLC PastSince Oct 28, 2021 Accepting new patients

Locations

8300 N Lamar Blvd
Ste 200A
Austin, TX 78753
Phone (512) 575-9555

2200 W University Dr
Ste 150
Denton, TX 76201
Phone (940) 304-0189

8528 Davis Blvd
Ste 150
North Richland Hills, TX 76182
Phone (817) 242-2630

234 W Campbell Rd
Richardson, TX 75080
Phone (972) 474-3221

2175 E Southlake Blvd
Ste 120
Southlake, TX 76092
Phone (817) 813-2700

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": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1417424318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 LAKE CAROLYN PKWY APT 240",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750394640",
            "telephone_number": "601-761-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W COLORADO BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082326",
            "telephone_number": "214-984-5616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1747 Citadel Plz Ste 205",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782091017",
            "country_code": "US",
            "telephone_number": "210-467-5395",
            "fax_number": "210-817-1114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "SHAMANTA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "HAMI-MSKCMU",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1020642",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1020642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.