Individual provider Active NPI

Shayna Manuel

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1710385158
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP126413 Issued in TX
Practice address
512 E Highland Blvd Ste 150
San Antonio, TX 78210-3521
Phone
(210) 207-8152
Fax
(210) 207-2116
NPI assigned
Dec 17, 2014
Last updated
Dec 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP126413 TX Primary

Addresses

Primary practice location

512 E Highland Blvd Ste 150
San Antonio, TX 78210-3521

Mailing address

5009 University Ave
Ste C
Lubbock, TX 79413-4432
Phone (806) 712-1096

Other practice location 1

3903 Wiseman Blvd
San Antonio, TX 78251-4401
Phone (210) 358-4000

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
I20150220000571 TX Practitioner - Nurse Practitioner 0749505451 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP126413TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medicine Associates Nurse Practitioner CurrentSince Dec 7, 2014 Accepting new patients
Transitions Care Management PA PastSince Apr 11, 2016 Accepting new patients
City of San Antonio Texas Past Accepting new patients

Locations

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

Interoperability endpoints

  • Direct secure messaging: shayna.manuel.1@18536.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1710385158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 UNIVERSITY AVE",
            "address_2": "STE C",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794134432",
            "telephone_number": "806-712-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 E HIGHLAND BLVD STE 150",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782103521",
            "telephone_number": "210-207-8152",
            "fax_number": "210-207-2116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3903 Wiseman Blvd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782514401",
            "country_code": "US",
            "telephone_number": "210-358-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "SHAYNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-17",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP126413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.