Active NPI
La'Sheah Monique Stewart, NP
- Primary Care Nurse Practitioner
- Mansfield, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 1069667
- Practice address
- 1900 Matlock Rd Ste 804
Mansfield, TX 76063-4455 - Phone
- (682) 800-3211
- Fax
- (708) 352-2408
- NPI assigned
- Feb 12, 2015
- Last updated
- Feb 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209012579 | IL | |
| Primary Care Nurse Practitioner | 363LP2300X | 1069667 | TX | Primary |
Addresses
Primary practice location
1900 Matlock Rd Ste 804
Mansfield, TX 76063-4455
Mailing address
1900 Matlock Rd Ste 804
Mansfield, TX 76063-4455
Phone (682) 800-3211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitae Health Medical Illinois, PLLC | Current | Accepting new patients | |
| Texas Health Care, P.L.L.C. | Current | Accepting new patients | |
| Texas Health Care, P.L.L.C. | Current | Accepting new patients | |
| Texas Health Care, P.L.L.C. | Current | Accepting new patients | |
| Illinois Veterans Home at Manteno | Current | Accepting new patients |
Locations
20 Briarcliff Ln
Bourbonnais, IL 60914
Phone (815) 937-2002
303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347
3400 S Indiana Ave
Chicago, IL 60616
Phone (312) 482-5000
1666 Checker Rd
Long Grove, IL 60047
Phone (847) 419-1111
1 Veterans Dr
Manteno, IL 60950
Phone (815) 468-1027
1 Veterans Dr
Bldg A2M
Manteno, IL 60950
1900 Matlock Rd
Ste 804
Mansfield, TX 76063
Phone (682) 800-3211
6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245
Interoperability endpoints
- la.sheah.stewart.1@30520.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Interventional Pain Medicine Physician
- Fort Worth, TX
- NPI 1477628873
-
- Physical Disabilities Residential Treatment Facility
- Manteno, IL
- NPI 1831248228
-
- Internal Medicine Physician
- Skokie, IL
- NPI 1174013452
-
- Family Medicine Physician
- Fort Worth, TX
- NPI 1821026352
-
- Obstetrics & Gynecology Physician
- Haltom City, TX
- NPI 1821145764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675641600000",
"number": "1114318136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 MATLOCK RD STE 804",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760634455",
"telephone_number": "682-800-3211",
"fax_number": "682-257-3699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 MATLOCK RD STE 804",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760634455",
"telephone_number": "682-800-3211",
"fax_number": "708-352-2408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "LA'SHEAH",
"middle_name": "MONIQUE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-12",
"last_updated": "2023-02-06",
"certification_date": "2023-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209012579",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TX",
"license": "1069667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.