Individual provider Active NPI

Shavon Ja'Nai Lamar

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1780010421
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
83308 Issued in OK
Practice address
3338 Oakwell CT Ste 104
San Antonio, TX 78218-3087
Phone
(210) 268-0129
NPI assigned
Sep 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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 1092412 TX
Family Nurse Practitioner 363LF0000X 83308 OK Primary

Addresses

Primary practice location

3338 Oakwell CT Ste 104
San Antonio, TX 78218-3087

Mailing address

5615 Storm King
Schertz, TX 78108-2029
Phone (580) 284-0606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140207000771 OK Practitioner - Nurse Practitioner 8628207909 Reassigns benefits to 1 organization
I20230705003382 TX Practitioner - Nurse Practitioner 8628207909 Reassigns benefits to 2 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
Tricity Pain Associates, PAGroup PAC ID 9830359181, 19 clinicians

Practice addresses (Care Compare)

3338 Oakwell CT
Suite 104
San Antonio, TX 78218-3087
Phone (844) 789-7246

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tricity Pain Associates PA CurrentSince Jul 1, 2024 Accepting new patients
Southwestern Surgical Affiliates, LLC CurrentSince Aug 1, 2022 Accepting new patients
Tricity Pain Associates PA CurrentSince Jul 1, 2024 Accepting new patients
Summit Medical Center Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

5610 SW Lee Blvd
Lawton, OK 73505
Phone (580) 353-8600

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

5606 SW Lee Blvd
Ste 303
Lawton, OK 73505
Phone (580) 531-6455

5606 SW Lee Blvd
Ste 205
Lawton, OK 73505
Phone (580) 531-6465

717 Generations Dr
Ste B
New Braunfels, TX 78130
Phone (830) 264-8189

861 Landa St
New Braunfels, TX 78130
Phone (210) 546-1460

8627 Cinnamon Creek Dr
Bldg 100
San Antonio, TX 78240

14800 San Pedro Ave
Ste 115
San Antonio, TX 78232
Phone (844) 384-5470

3338 Oakwell Ct
Ste 104
San Antonio, TX 78218
Phone (210) 946-6466

2600 SW Military Dr
Ste 207
San Antonio, TX 78224
Phone (210) 922-2960

110 Stone Oak Loop
Ste 103
San Antonio, TX 78258
Phone (210) 268-0156

18707 Hardy Oak Blvd
Ste 230
San Antonio, TX 78258
Phone (210) 494-2000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1821/brand/1/csg/22/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": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1780010421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 STORM KING",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781082029",
            "telephone_number": "580-284-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3338 OAKWELL CT STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782183087",
            "telephone_number": "210-268-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMAR",
        "first_name": "SHAVON",
        "middle_name": "JA'NAI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1092412",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "83308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.