MS. ANNA MARIA SHUTE FNP-BC NPI 1720702020

NPI Information

  • NPI: 1720702020
  • Provider Name: MS. ANNA MARIA SHUTE, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 480 W SOUTHLAKE BLVD STE 115
    SOUTHLAKE, TX
    ZIP 76092
  • Phone: (945) 262-7676

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NPI Details

MS. Anna Maria Shute, FNP-BC is a family nurse practitioner in Southlake, TX with 3 years of experience. MS. Anna Maria Shute, FNP-BC NPI is 1720702020. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

480 W SOUTHLAKE BLVD STE 115
SOUTHLAKE, TX
ZIP 76092-167
Phone: (945) 262-7676
Fax: (469) 947-6114

The NPI 1720702020 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/29/2022 and was last updated on 9/18/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily1095402TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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