Shahean Fayaz, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP130955 Issued in TX

Practice address

288 Country Lane Dr
Lumberton, TX 77657-6804

Phone

(409) 813-1677

NPI assigned

May 20, 2016

Last updated

Dec 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Diagnostic Group Integrated Healthcare System, PLLCGroup PAC ID 1557506383, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Harbor Home Health Home health agency, Beaumont, TX, CCN 679163
• Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034
• Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Diagnostic Group Integrated Healthcare System PLLC

  • Internal Medicine Physician
  • Beaumont, TX
  • NPI 1194061655

  Family

  Medicare reassignment Care Compare group NPD

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

• Baptist Hospitals of Southeast Texas

  dba Baptist Beaumont Hospital

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1093744187
  Care Compare affiliation
• Christus Health Southeast Texas

  dba CHRISTUS Southeast Texas - St. Elizabeth

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1679557888
  Care Compare affiliation
• JCH Inc

  dba Harbor Home Health

  • Home Health Agency
  • Beaumont, TX
  • NPI 1134128648
  Care Compare affiliation

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1255788170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 COLLEGE ST STE 200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014612",
            "telephone_number": "409-730-2054",
            "fax_number": "409-730-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 COUNTRY LANE DR",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776576804",
            "telephone_number": "409-813-1677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3480 College St",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777014612",
            "country_code": "US",
            "telephone_number": "409-813-1677",
            "fax_number": "409-730-1399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2353 N Main St",
            "address_purpose": "LOCATION",
            "city": "Vidor",
            "state": "TX",
            "postal_code": "776622610",
            "country_code": "US",
            "telephone_number": "409-813-1677",
            "fax_number": "409-422-4997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAYAZ",
        "first_name": "SHAHEAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-20",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christie Earnheart, LPC-A
• Candace Renee Eastman, FNP-C
• Rommel Tan Espenilla, RPH
• Family Dental Care-Lumberton PLLC (Family Dental Care)
• James Andrew Farren, R.N.
• First Response Urgent Care-Lumberton (First Response Urgent Care)
• Kenneth Fisher, NP
• Brittani Fisk, FNP-C
• Abigail Elizabeth Flame
• Jordan Nicole Fountain, NP

• Family Nurse Practitioner in Lumberton, TX
• Providers in Lumberton, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.
• 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.