Individual provider Active NPI

Christine Lyn Smullin Callander, APRN FNP

  • Nurse Practitioner
  • Plano, TX
National Provider Identifier
1225637168
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1017582 Issued in TX
Practice address
5172 Village Creek Dr Ste 101
Plano, TX 75093-4444
Phone
(972) 332-1930
Fax
(855) 554-0995
NPI assigned
Oct 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1017582 TX Primary

Addresses

Primary practice location

5172 Village Creek Dr Ste 101
Plano, TX 75093-4444

Mailing address

5172 Village Creek Dr Ste 101
Plano, TX 75093-4444
Phone (972) 332-1930

Other identifiers 1

IdentifierTypeStateIssuer
1017582OtherTXTEXAS STATE BON

Other names 1

  • Mrs. Christine Lyn Callander Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1017582TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shine Pediatrics and Wellness Center P.a. PastSince Aug 1, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1225637168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5172 VILLAGE CREEK DR STE 101",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934444",
            "telephone_number": "972-332-1930",
            "fax_number": "855-554-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5172 VILLAGE CREEK DR STE 101",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934444",
            "telephone_number": "972-332-1930",
            "fax_number": "855-554-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLANDER",
        "first_name": "CHRISTINE",
        "middle_name": "LYN SMULLIN",
        "name_prefix": "Mrs.",
        "credential": "APRN FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1017582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BON",
            "identifier": "1017582",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "CALLANDER",
            "middle_name": "LYN",
            "prefix": "MRS.",
            "credential": "APRN FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.