Active NPI
Shantae Johnson, NP-BC
- Adult Health Nurse Practitioner
- Sugar Land, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP143150
- Practice address
- 17520 W Grand Pkwy S
Sugar Land, TX 77479-4758 - Phone
- (812) 725-5970
- NPI assigned
- May 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP143150 | TX | Primary |
Addresses
Primary practice location
17520 W Grand Pkwy S
Sugar Land, TX 77479-4758
Mailing address
17520 W Grand Pkwy S
Sugar Land, TX 77479-4758
Phone (281) 725-5970
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | memorialhermann |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
17520 W Grand Pkwy S
Suite 350
Sugar Land, TX 77479-4760
Phone (281) 725-5970
1801 N Loop W
Suite 30
Houston, TX 77008-1445
Phone (713) 802-9781
2626 S Loop W
Suite 265
Houston, TX 77054-5636
Phone (713) 796-9955
915 Gessner Rd
Suite 100
Houston, TX 77024-2537
Phone (713) 242-2222
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trumen Physicians and Associates PLLC | Current | Accepting new patients | |
| Houston Methodist Specialty Physicians | Current | Accepting new patients | |
| Memorial Hermann Medical Group | Current | Accepting new patients | |
| Houston Methodist | Past | Accepting new patients |
Locations
1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800
915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222
7887 Cambridge St
Houston, TX 77054
Phone (713) 796-2777
2626 S Loop W
Houston, TX 77054
Phone (713) 218-0260
2626 S Loop W
Ste 265
Houston, TX 77054
Phone (713) 796-9955
1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781
3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876
17520 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 491-5511
17520 W Grand Pkwy S
Ste 350
Sugar Land, TX 77479
Phone (281) 725-5970
Interoperability endpoints
- sjohnson66036@memorialhermann.direct-ci.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Fulshear, TX
- NPI 1003985102
-
- Geriatric Medicine (Internal Medicine) Physician
- Houston, TX
- NPI 1134442320
-
- Geriatric Medicine (Internal Medicine) Physician
- Houston, TX
- NPI 1316801004
-
- Otolaryngology Physician
- Houston, TX
- NPI 1902614332
-
- Nurse Practitioner
- Houston, TX
- NPI 1992178693
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sugar Land, TX
- NPI 1295788735
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1750872487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17520 W GRAND PKWY S",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774794758",
"telephone_number": "281-725-5970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17520 W GRAND PKWY S",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774794758",
"telephone_number": "812-725-5970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "SHANTAE",
"credential": "NP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-30",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "AP143150",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "memorialhermann",
"affiliation": "N",
"address_1": "17520 W Grand Pkwy S",
"city": "Sugar Land",
"state": "TX",
"country_code": "US",
"postal_code": "774794758",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.