Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shantae Johnson, NP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1750872487

Shantae Johnson, NP-BC is a Nurse Practitioner in Sugar Land, Texas. Qualified in 2013, 13 years ago. Practices with Memorial Hermann Medical Group, a 753-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
13
Licensed in
TX
In the registry since
2018
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Practice location Address checks out

17520 W Grand Pkwy S
Sugar Land, TX 77479-4758
Phone: (812) 725-5970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence AP143150 (TX)

Record details

NPI number1750872487
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-BC
Sole proprietorNo
NPI enumeratedMay 30, 2018
Last updated in NPPESSeptember 17, 2024
Certification dateSeptember 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Memorial Hermann Medical Group — 753 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Sugar Land