Roadway Primary Care PLLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

ROADWAY PRIMARY CARE PLLC

Practice address

910 N Davis Dr Ste 100
Arlington, TX 76012-3200

Phone

(945) 954-0574

Fax

(972) 957-5215

NPI assigned

Apr 8, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Shantau Valentine, NPNPI 1114770229

Title

Manager

Phone

(945) 954-0574

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shantau A Valentine

  • Nurse Practitioner
  • Arlington, TX
  • NPI 1114770229
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1851185433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 N DAVIS DR STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760123200",
            "telephone_number": "945-954-0574",
            "fax_number": "972-957-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N DAVIS DR STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760123200",
            "telephone_number": "945-954-0574",
            "fax_number": "972-957-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROADWAY PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "SHANTAU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "945-954-0574",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norma Alicia Rivera
• Marico Dantel Rivers
• Riverside Agencies LLC
• Kumail Ali Rizvi, DO
• RJ Fonner Enterprises Inc
• Kristin Louise Robbins, AU.D.
• Nicholas Grant Robbins, M.D.
• Mikayla Roberson
• Robert M. Kleinhaus, M.D., PA
• Robert Ure, M.D.

• Adult Health Nurse Practitioner in Arlington, TX
• Providers in Arlington, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.