Individual provider Active NPI

Stephanie Rebecca Isaacks, FNP

  • Family Nurse Practitioner
  • Buna, TX
National Provider Identifier
1194843359
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
675337 Issued in TX
Practice address
296 US Highway Business 96
Buna, TX 77612-0437
Phone
(409) 994-2427
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 675337 TX
Family Nurse Practitioner 363LF0000X 675337 TX Primary

Addresses

Primary practice location

296 US Highway Business 96
Buna, TX 77612-0437

Mailing address

PO Box 1568
Buna, TX 77612-1568
Phone (409) 651-4150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050622000740 TX Practitioner - Nurse Practitioner 2668417445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

296 US Hwy Business 96
Buna, TX 77612-0437
Phone (409) 994-2427

Hospital & facility affiliations

  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034
  • Christus Jasper Memorial Hospital Hospital, Jasper, TX, CCN 450573

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
675337TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hyden Health Care, PLLC Family CurrentSince Mar 21, 2014 Accepting new patients
Pioneer Emergency Medicine Associates PA Past Accepting new patients
Southeast Emergency Physician Associates, P.a. Past Accepting new patients
HCH Medical Clinic ,Inc Past Accepting new patients
Bob K. Wynn, M.D. P.a. PastSince Mar 21, 2014 Accepting new patients
Jefferson Emergency Medicine Associates PA Past Accepting new patients

Locations

296 US Highway Business 96
Buna, TX 77612
Phone (409) 651-4150

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1194843359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1568",
            "city": "BUNA",
            "state": "TX",
            "postal_code": "776121568",
            "telephone_number": "409-651-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 US HIGHWAY BUSINESS 96",
            "city": "BUNA",
            "state": "TX",
            "postal_code": "776120437",
            "telephone_number": "409-994-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACKS",
        "first_name": "STEPHANIE",
        "middle_name": "REBECCA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "675337",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "675337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buna, TX

Sources for this page

Verify at the official NPI Registry.