Individual provider Active NPI

Lawrence Chris Stines, FNP

  • Nurse Practitioner
  • Victoria, TX
National Provider Identifier
1306822978
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
631688 Issued in TX
Practice address
606 E Nueces St
Victoria, TX 77901
Phone
(361) 575-4100
Fax
(361) 575-4111
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2014

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 631688 TX Primary

Addresses

Primary practice location

606 E Nueces St
Victoria, TX 77901

Mailing address

P.O. Box 5749
Victoria, TX 77903
Phone (361) 575-4100

Other identifiers 2

IdentifierTypeStateIssuer
176123101MedicaidTX
NP7206OtherTXBCBS OF TX #

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
I20040301000993 TX Practitioner - Nurse Practitioner 0042107427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4206 N Ben Jordan St
Victoria, TX 77901-3076
Phone (361) 575-4100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria NP Clinic PLLC CurrentSince Jul 1, 2018 Accepting new patients
Pioneer Emergency Medicine Associates PA Nurse Practitioner Past Accepting new patients
Jefferson Emergency Medicine Associates PA Nurse Practitioner Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Brazos Emergency Physicians, PA Past Accepting new patients
Jean Gisler Nurse Practitioner PastSince Apr 1, 2004 Accepting new patients

Locations

4206 N Ben Jordan St
Victoria, TX 77901
Phone (361) 573-4711

606 E Nueces St
#O
Victoria, TX 77901
Phone (361) 575-4100

606 E Nueces St
Victoria, TX 77901
Phone (361) 575-4100

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 4

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399420800000",
    "number": "1306822978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5749",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "77903",
            "telephone_number": "361-575-4100",
            "fax_number": "361-575-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 E NUECES ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "77901",
            "telephone_number": "361-575-4100",
            "fax_number": "361-575-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINES",
        "first_name": "LAWRENCE",
        "middle_name": "CHRIS",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2014-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "631688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176123101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX #",
            "identifier": "NP7206",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.