Active NPI
Shanty Sajimon Joseph, FNP
- Family Nurse Practitioner
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP141382
- Practice address
- 6326 Kingston RNCH
San Antonio, TX 78249-4873 - Phone
- (210) 996-1111
- NPI assigned
- Oct 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP141382 | TX | Primary |
Addresses
Primary practice location
6326 Kingston RNCH
San Antonio, TX 78249-4873
Mailing address
6326 Kingston RNCH
San Antonio, TX 78249-4873
Phone (210) 996-1111
Other practice location 1
903 W Martin St # MS 49-2
San Antonio, TX 78207-0903
Phone (210) 358-5909
Other practice location 2
4502 Medical Dr
San Antonio, TX 78229-4402
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Texas Medical Branch at Galveston, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-2015
Hospital & facility affiliations
- University Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP141382 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Post Acute Specialists of Texas PA | Family | Current | Accepting new patients |
| The University of Texas Health Science Center at San Antonio | Current | Accepting new patients | |
| Community Medicine Associates | Current | Accepting new patients | |
| University of Texas Health Science Center at San Antonio | Current | Accepting new patients |
Locations
2911 Medical Arts St
Ste 10
Austin, TX 78705
Phone (512) 474-5551
7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700
307 W Cypress St
San Antonio, TX 78212
Phone (210) 223-5521
903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441
4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555
Organizations & group practices 4
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
- San Antonio, TX
- NPI 1245313329
-
- Geriatric Medicine (Family Medicine) Physician
- Austin, TX
- NPI 1942859350
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1720051717
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1821011248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1841833035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6326 KINGSTON RNCH",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782494873",
"telephone_number": "210-996-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6326 KINGSTON RNCH",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782494873",
"telephone_number": "210-996-1111"
}
],
"practiceLocations": [
{
"address_1": "903 W Martin St # MS 49-2",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782070903",
"country_code": "US",
"telephone_number": "210-358-5909",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4502 Medical Dr",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782294402",
"country_code": "US",
"telephone_number": "210-358-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOSEPH",
"first_name": "SHANTY",
"middle_name": "SAJIMON",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-21",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP141382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.