Individual provider Active NPI

Shaute Williams, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Downey, CA
National Provider Identifier
1649711813
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95008057 Issued in CA
Practice address
11500 Brookshire Ave
Downey, CA 90241-4917
Phone
(562) 904-5000
Fax
(562) 904-5140
NPI assigned
Mar 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 728063 CA
Family Nurse Practitioner 363LF0000X 95008057 CA Primary

Addresses

Primary practice location

11500 Brookshire Ave
Downey, CA 90241-4917

Mailing address

814 Francisco St
Los Angeles, CA 90017-2530

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20180205001156 CA Practitioner - Nurse Practitioner 7618237058 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Urgent Care, Inc.Group PAC ID 4981992807, 4 clinicians

Practice addresses (Care Compare)

148 N Grand Ave
Glendora, CA 91741-2434
Phone (626) 594-0478

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
728063CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians Current Accepting new patients
Mountain View Urgent Care Group, Inc CurrentSince Jan 1, 2023 Accepting new patients
Mountain View Urgent Care Group, Inc CurrentSince Jan 1, 2023 Accepting new patients
Medison Corp CurrentSince Oct 12, 2025 Accepting new patients
Pih Health Physicians CurrentSince Nov 18, 2018 Accepting new patients
David Friedberg, MD Inc. CurrentSince Sep 9, 2018 Accepting new patients
Integrative Urgent Care, Inc. CurrentSince Jun 5, 2024 Accepting new patients
Pih Health Physicians CurrentSince Nov 18, 2018 Accepting new patients

Locations

2551 W Woodland Dr
Anaheim, CA 92801

11500 Brookshire Ave
Downey, CA 90241
Phone (562) 904-5000

12442 Limonite Ave
Unit 102
Eastvale, CA 91752
Phone (951) 393-3000

17525 Ventura Blvd
Ste 210
Encino, CA 91316
Phone (818) 501-8743

16465 Sierra Lakes Pkwy
Ste 100
Fontana, CA 92336
Phone (909) 434-1150

148 N Grand Ave
Glendora, CA 91741
Phone (626) 594-0478

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

3628 E Imperial Hwy
Ste 300
Lynwood, CA 90262
Phone (310) 406-3900

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

24329 Crenshaw Blvd
Torrance, CA 90505
Phone (310) 868-8100

15733 Whittier Blvd
Whittier, CA 90603
Phone (562) 947-7754

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18095/brand/2/csg/1/fhir/r4
  • Direct secure messaging: swilliams428982@direct.llu.edu

Organizations & group practices 8

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": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1649711813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 FRANCISCO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900172530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 BROOKSHIRE AVE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414917",
            "telephone_number": "562-904-5000",
            "fax_number": "562-904-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHAUTE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "728063",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "11500 Brookshire Ave",
            "city": "Downey",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902414917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.