Christine Rhea Lacomb, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Groves, TX
NPI 1619993003 · NPPES record last updated Mar 22, 2017
Key facts
- NPI
- 1619993003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 684661 (TX)
- Practice address
- 6000 39TH St
Groves, TX 77619-4600 - Phone
- (409) 962-8509
- Fax
- (409) 962-0763
- NPI assigned
- Jul 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
-
Russell N McDonald, D.O.
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lacomb Health and Wellness, PLLC
Practice addresses (Care Compare)
6000 39TH St
Groves, TX 77619-4600
Phone (409) 962-8509
Hospital & facility affiliations
- Christus Southeast Texas- St Elizabeth
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100726000132 | TX | Practitioner - Nurse Practitioner | 6507998655 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 684661 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lacomb Health & Wellness, PLLC | Family | Current |
Accepting new patients |
| Russell N. McDonald | Past |
Accepting new patients |
Locations
6000 39th St
Groves, TX 77619
Phone (409) 626-1022
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 684661 | TX | Yes |
Addresses
Primary practice location
6000 39TH St
Groves, TX 77619-4600
Mailing address
6000 39TH St
Groves, TX 77619-4600
Phone (409) 962-8509
Other names
- Mrs. Christine Rhea Lane
Other providers in Groves, TX
- Donnis Terrence Hunter Jr.
- Internal Medicine Associates LLP
- William Timothy Johnson
- Kiglapait Hospital Corporation
- Lacomb Health & Wellness, PLLC
- Vicki L Landry
- Clifton Ray Lewis
- LTHM Groves - Operations LLC
- Annette Marie Lynd
- Russell N McDonald
All providers in Groves, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.