Healthcare Provider Details

I. General information

NPI: 1356010276
Provider Name (Legal Business Name): SHANNON SPRATT MSN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2021
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7710 W INTERSTATE 10
SAN ANTONIO TX
78230-4711
US

IV. Provider business mailing address

903 W MARTIN ST # MS 49-2
SAN ANTONIO TX
78207-0903
US

V. Phone/Fax

Practice location:
  • Phone: 210-377-3355
  • Fax:
Mailing address:
  • Phone: 210-358-8255
  • Fax: 210-358-9955

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1047262
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR87228
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1047262
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: