Individual provider Active NPI

Anna Maria Shute, FNP-BC

  • Family Nurse Practitioner
  • Southlake, TX
National Provider Identifier
1720702020
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1095402 Issued in TX
Practice address
480 W Southlake Blvd Ste 115
Southlake, TX 76092-6167
Phone
(945) 262-7676
Fax
(469) 947-6114
NPI assigned
Sep 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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 1095402 TX Primary

Addresses

Primary practice location

480 W Southlake Blvd Ste 115
Southlake, TX 76092-6167

Mailing address

3701 Ira E Woods Ave
Grapevine, TX 76051-4213
Phone (817) 251-2501

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
I20241213000903 TX Practitioner - Nurse Practitioner 3476089426 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivx Health of Texas PAGroup PAC ID 6507209129, 22 clinicians

Practice addresses (Care Compare)

9833 N Fwy
Suite 121
Fort Worth, TX 76177-7176
Phone (682) 324-3188

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1095402TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Telehealth Services of Texas Association Family CurrentSince Nov 25, 2024 Accepting new patients
Ivx Health of Texas P.a. CurrentSince Jul 30, 2025 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Nov 25, 2024 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Family Current Accepting new patients
Phoenix Integrative Medical Center PLLC PastSince Oct 1, 2022 Accepting new patients
Life Extension Clinics, Inc PastSince Jan 1, 2023 Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

1400 E Whitestone Blvd
Ste 400
Cedar Park, TX 78613
Phone (512) 640-5200

3410 N Interstate 35
Ste 106
Denton, TX 76201
Phone (817) 719-0595

9833 North Fwy
Ste 121
Fort Worth, TX 76177
Phone (469) 947-6114

4453 Main St
Ste 320
Frisco, TX 75034
Phone (469) 649-9911

3701 Ira E Woods Ave
Grapevine, TX 76051
Phone (817) 251-2411

2469 Bay Area Blvd
Houston, TX 77058
Phone (281) 474-4042

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151

4701 W Park Blvd
Ste 107
Plano, TX 75093
Phone (214) 822-2230

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

5301 Alamo Pkwy
San Antonio, TX 78253
Phone (210) 688-9311

480 W Southlake Blvd
Ste 115
Southlake, TX 76092
Phone (817) 416-2221

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20913/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1720702020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 IRA E WOODS AVE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514213",
            "telephone_number": "817-251-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 W SOUTHLAKE BLVD STE 115",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926167",
            "telephone_number": "945-262-7676",
            "fax_number": "469-947-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUTE",
        "first_name": "ANNA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1095402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.