NPIMap

Individual provider Active NPI

Shante Renee Spaulding, FNP-C

  • Family Nurse Practitioner
  • Universal City, TX
National Provider Identifier
1427664135
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1012067 Issued in TX
Practice address
330 Colonial BLF
Universal City, TX 78148-3005
Phone
(904) 534-8350
NPI assigned
Sep 17, 2020
Last updated
May 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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 1012067 TX Primary

Addresses

Primary practice location

330 Colonial BLF
Universal City, TX 78148-3005

Mailing address

330 Colonial BLF
Universal City, TX 78148-3005
Phone (904) 534-8350

Other practice location 1

16620 San Pedro Ave Ste 300
San Antonio, TX 78232-2679
Phone (210) 309-1405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210108000118 TX Practitioner - Nurse Practitioner 1355754581 Reassigns benefits to 7 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
Visiting Practitioners and Palliative Care LLCGroup PAC ID 6305276288, 5 clinicians
Rise Up Rehab, LLCGroup PAC ID 3274861497, 118 clinicians
Inpatient Progressive Health of America, PLLCGroup PAC ID 5698072320, 72 clinicians
Inpatient Medicine Physicians PAGroup PAC ID 7911009055, 16 clinicians

Practice addresses (Care Compare)

15420 Nacogdoches Rd
San Antonio, TX 78247-1106
Phone (210) 860-2833

16400 Blanco Rd
San Antonio, TX 78232-1902
Phone (210) 572-4954

16620 N US Hwy 281
Suite 300
San Antonio, TX 78232-2679

16620 San Pedro Ave
Suite 300
San Antonio, TX 78232-2679
Phone (210) 871-4701

29924 FM
Suite 3009
New Braunfels, TX 78132-2637
Phone (830) 620-0330

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wholistic Imaging LLC CurrentSince Oct 21, 2025 Accepting new patients
Regional Physician Services of Texas, P.a. CurrentSince Jul 1, 2025 Accepting new patients
Visiting Practitioners & Palliative Care LLC CurrentSince May 16, 2025 Accepting new patients
Primo Clinicians PLLC CurrentSince Mar 1, 2025 Accepting new patients
Inpatient Progressive Health of America, PLLC CurrentSince May 1, 2024 Accepting new patients
James M Andry MD PA CurrentSince Nov 2, 2020 Accepting new patients
Wholistic Wound Care & Wellness PLLC Family CurrentSince Sep 3, 2024 Accepting new patients
James M Andry MD PA PastSince Nov 1, 2023 Accepting new patients

Locations

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

15420 Nacogdoches Rd
San Antonio, TX 78247
Phone (210) 767-3870

16620 San Pedro Ave
Ste 300
San Antonio, TX 78232
Phone (210) 614-1231

18911 Hardy Oak Blvd
Ste 213
San Antonio, TX 78258
Phone (210) 400-6930

24165 Ih 10 W
Ste 217807
San Antonio, TX 78257

5290 Medical Dr
Ste A
San Antonio, TX 78229

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1427664135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 COLONIAL BLF",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483005",
            "telephone_number": "904-534-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 COLONIAL BLF",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483005",
            "telephone_number": "904-534-8350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16620 San Pedro Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782322679",
            "country_code": "US",
            "telephone_number": "210-309-1405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPAULDING",
        "first_name": "SHANTE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1012067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Universal City, TX

Sources for this page

Verify at the official NPI Registry.