Active NPI
Christina Wade
- Family Nurse Practitioner
- New Boston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP139080
- Practice address
- 114 W US Highway 82
New Boston, TX 75570-2804 - Phone
- (479) 530-3245
- Fax
- (903) 628-0712
- NPI assigned
- Dec 4, 2018
- Last updated
- Aug 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP139080 | TX | Primary |
| Nurse Practitioner | 363L00000X | AP139080 | TX |
Addresses
Primary practice location
114 W US Highway 82
New Boston, TX 75570-2804
Mailing address
864 County Road 4105
New Boston, TX 75570-5126
Phone (903) 280-4400
Other practice location 1
1002 Texas Blvd Ste 401
Texarkana, TX 75501-5113
Phone (903) 792-4003
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400234701 | Medicaid | TX | |
| AP139080 | Other | TX | APRN LICENSE |
| 27870 | Other | TX | PRESCRIPTIVE AUTHORIZATION |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP139080 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Apex Wound Management LLC | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| B Pediatrics PLLC | Family | Past | Accepting new patients |
| Burns Professional Office | Past | Accepting new patients |
Locations
2006 Moores Ln
Texarkana, TX 75503
Phone (903) 792-6944
3003 Richmond Rd
Texarkana, TX 75503
Phone (918) 740-9476
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Organizations & group practices 5
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.
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
dba Healing Hands Pediatrics
- Pediatrics Physician
- Texarkana, TX
- NPI 1285908335
Family
-
- Pediatrics Physician
- Texarkana, TX
- NPI 1578866547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1508336470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "864 COUNTY ROAD 4105",
"city": "NEW BOSTON",
"state": "TX",
"postal_code": "755705126",
"telephone_number": "903-280-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 W US HIGHWAY 82",
"city": "NEW BOSTON",
"state": "TX",
"postal_code": "755702804",
"telephone_number": "479-530-3245",
"fax_number": "903-628-0712"
}
],
"practiceLocations": [
{
"address_1": "1002 Texas Blvd Ste 401",
"address_purpose": "LOCATION",
"city": "Texarkana",
"state": "TX",
"postal_code": "755015113",
"country_code": "US",
"telephone_number": "903-792-4003",
"fax_number": "903-794-6743",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WADE",
"first_name": "CHRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-04",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP139080",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP139080",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "400234701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN LICENSE",
"identifier": "AP139080",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESCRIPTIVE AUTHORIZATION",
"identifier": "27870",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Boston, TX
- Brian Mathew Steele, DDS
- Supracare Family Health PLLC
- Texarkana Eye Care Center LLP (ArkLaTex Eyes- New Boston)
- Trilok at New Boston Inc. (New Boston Health Care Center)
- Joe A Vickers
- Wal-Mart Stores Texas LLC (Walmart Pharmacy 100181)
- Wal-Mart Stores Texas, LP (Vision Center 30-0181)
- Walgreen Co. (Walgreens #21506)
- Leah Miller White
- Jin Yu, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.