Organization Active NPI

NP Vip Health Services LLC

  • Family Nurse Practitioner
  • Lufkin, TX
National Provider Identifier
1033811534
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
NP VIP HEALTH SERVICES LLC
Practice address
202 S John Redditt Dr
Lufkin, TX 75904-3112
Phone
(936) 639-1005
Fax
(936) 639-1015
NPI assigned
Mar 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Annysue Crystalin Emmons, APRNNPI 1336606201
Title
Nurse Practitioner
Phone
(936) 639-1005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

202 S John Redditt Dr
Lufkin, TX 75904-3112

Mailing address

305 Shands Dr Ste a
Lufkin, TX 75904-2885
Phone (936) 639-1005

Other names 1

  • VIP Health Family Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240213004060 TX Part B Supplier - Clinic/Group Practice 3779927173 Receives reassigned benefits from 3 practitioners
Practice locations: Lufkin, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2278597Vip Health Family Clinic202 S John Redditt Dr, Lufkin, TX 75904Certificate of waiverMar 20, 2027

National Provider Directory

National Provider Directory

Locations

305 Shands Dr
Ste A
Lufkin, TX 75904

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1033811534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 SHANDS DR STE A",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759042885",
            "telephone_number": "936-639-1005",
            "fax_number": "936-639-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S JOHN REDDITT DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043112",
            "telephone_number": "936-639-1005",
            "fax_number": "936-639-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NP VIP HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "EMMONS",
        "authorized_official_first_name": "ANNYSUE",
        "authorized_official_middle_name": "CRYSTALIN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "936-639-1005",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIP Health Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.