Individual provider Active NPI

Christie R Shoemaker, APRN

  • Family Nurse Practitioner
  • Lumberton, TX
National Provider Identifier
1629614078
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP144043 Issued in TX
Practice address
151 Country Lane Dr
Lumberton, TX 77657-6803
Phone
(409) 755-3010
NPI assigned
Nov 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP144043 TX Primary

Addresses

Primary practice location

151 Country Lane Dr
Lumberton, TX 77657-6803

Mailing address

2900 Saint Michael Dr Ste 401
Texarkana, TX 75503-5211
Phone (903) 614-5367

Other identifiers 3

IdentifierTypeStateIssuer
408922902MedicaidTX
P02601527OtherTXMCRR
1K0581OtherTXMEDICARE

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
I20200221002323 TX Practitioner - Nurse Practitioner 3678900164 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beaumont Internal Medicine and Geriatric Assoc.Group PAC ID 9032195789, 17 clinicians

Practice addresses (Care Compare)

755 N 11TH St
Suite P5200
Beaumont, TX 77702-1522
Phone 4098982994105

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP144043TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Internal Medicine & Geriatric Assoc. CurrentSince Feb 1, 2026 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Dec 1, 2020 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Dec 1, 2020 Accepting new patients
C H Wilkinson Physician Network CurrentSince Jan 23, 2020 Accepting new patients
Pranav Bhatt, MD, PLLC CurrentSince Jul 20, 2023 Accepting new patients
C H Wilkinson Physician Network CurrentSince Jan 23, 2020 Accepting new patients
Ahmad Medical PC Past Accepting new patients

Locations

3129 College St
Ste 100
Beaumont, TX 77701
Phone (409) 239-5605

755 N 11th St
Ste P5200
Beaumont, TX 77702
Phone (409) 898-2193

1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701

151 Country Lane Dr
Lumberton, TX 77657
Phone (409) 755-3010

2246 Nall St
Port Neches, TX 77651
Phone (409) 344-4010

2900 Saint Michael Dr
Ste 401
Texarkana, TX 75503
Phone (903) 614-5353

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: cshoemaker239681@christushealth.direct-ci.net
  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BIDADD
  • FHIR API: https://fhir4.healow.com/fhir/r4/EIAJAA

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1629614078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 SAINT MICHAEL DR STE 401",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755035211",
            "telephone_number": "903-614-5367",
            "fax_number": "903-614-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 COUNTRY LANE DR",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776576803",
            "telephone_number": "409-755-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "CHRISTIE",
        "middle_name": "R",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408922902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCRR",
            "identifier": "P02601527",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1K0581",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, TX

Sources for this page

Verify at the official NPI Registry.