Individual provider Active NPI

La'Sheah Monique Stewart, NP

  • Primary Care Nurse Practitioner
  • Mansfield, TX
National Provider Identifier
1114318136
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1069667 Issued in TX
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150318001743 IL Practitioner - Nurse Practitioner 7012234784 Reassigns benefits to 2 organizations
I20231116000070 TX Practitioner - Nurse Practitioner 7012234784 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Illinois, PLLC CurrentSince Dec 1, 2020 Accepting new patients
Texas Health Care, P.L.L.C. Current Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince Nov 1, 2023 Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince Nov 1, 2023 Accepting new patients
Illinois Veterans Home at Manteno CurrentSince Apr 19, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.