Sajita Shiwakoti

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1114971 Issued in TX

Practice address

4541 N Josey LN Ste 110
Carrollton, TX 75010-4622

Phone

(469) 788-8588

Fax

(469) 788-7800

NPI assigned

Jun 14, 2023

Last updated

Nov 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Impact Physician Group, Texas LLC

  • Internal Medicine Physician
  • Lufkin, TX
  • NPI 1740803113
  Medicare reassignment NPD
• Little Lantern Clinic LLC

  dba US Clinics

  • General Practice Physician
  • Carrollton, TX
  • NPI 1114409133
  Medicare reassignment NPD
• Premier Hospitalists of North Texas, PLLC

  • Internal Medicine Physician
  • Irving, TX
  • NPI 1497364541
  Medicare reassignment NPD
• Premier Internists of North Texas, PLLC

  • Internal Medicine Physician
  • Irving, TX
  • NPI 1144572124
  NPD (past)

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731715200000",
    "number": "1922782200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4541 N JOSEY LN STE 110",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104622",
            "telephone_number": "469-788-8588",
            "fax_number": "469-788-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4541 N JOSEY LN STE 110",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104622",
            "telephone_number": "469-788-8588",
            "fax_number": "469-788-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1049 Chickasaw Dr",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750101116",
            "country_code": "US",
            "telephone_number": "469-986-9191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIWAKOTI",
        "first_name": "SAJITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1114971",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "1114971",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "473236402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Shin, OTR
• Ali R Shirvani, MD
• Pyman Shirzad, D.C.
• Shivani H Patel, PA
• Michael Anthony Shive, FNP
• Benjie Shoemaker
• Lacey Shoemaker, CTRS
• Rodney G Shultz, PA-C, DC
• Angelina Sibimon
• Sarah Siddiqi, MD

• Nurse Practitioner in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.