Grapeland Emergent Care

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GRAPELAND EMERGENT CARE

Practice address

205 Church St
Grapeland, TX 75844-2151

Phone

(936) 228-3244

Fax

(936) 687-5024

NPI assigned

Jun 15, 2023

Organization subpart

No

Name

Chrissy Shupak, APRN, FNP-BCNPI 1356060255

Title

Ceo

Phone

(806) 543-5014

Organizations that report the same tax identification number in the National Provider Directory.

• Grapeland Emergent Care

  • General Practice Physician
  • Grapeland, TX
  • NPI 1881428977
  NPD tax ID

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chrissy Shupak, APRN FNP-BC

  • Family Nurse Practitioner
  • Grapeland, TX
  • NPI 1356060255

  Family, TX

  Medicare reassignment NPD Authorized official

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Grapeland Emergent Care (2 organizations share this tax ID)

Locations

• Grapeland Urgent Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 6, 2024.

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1437833738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1887 FM 231",
            "city": "LOVELADY",
            "state": "TX",
            "postal_code": "758513408",
            "telephone_number": "806-543-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 CHURCH ST",
            "city": "GRAPELAND",
            "state": "TX",
            "postal_code": "758442151",
            "telephone_number": "936-228-3244",
            "fax_number": "936-687-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAPELAND EMERGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "SHUPAK",
        "authorized_official_first_name": "CHRISSY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "806-543-5014",
        "authorized_official_credential": "APRN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grapeland Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grapeland Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Whitney S. Cutler, NP
• Mindi Dancer, RN
• Alexandria Cymone Davis, LVN
• Kassie Dowling
• East Texas Medical Center Grapeland Rural Health Clinic
• Grapeland Emergent Care
• Grapeland I. S. D.
• Don Roland Knight, DDS
• Tina Martin, LVN
• Terressa Nelson, RN, BSN

• All providers in Grapeland, TX
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.