Active NPI
Christie R Shoemaker, APRN
- Family Nurse Practitioner
- Lumberton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP144043
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 408922902 | Medicaid | TX | |
| P02601527 | Other | TX | MCRR |
| 1K0581 | Other | TX | MEDICARE |
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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP144043 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaumont Internal Medicine & Geriatric Assoc. | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| C H Wilkinson Physician Network | Current | Accepting new patients | |
| Pranav Bhatt, MD, PLLC | Current | Accepting new patients | |
| C H Wilkinson Physician Network | Current | 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
- cshoemaker239681@christushealth.direct-ci.net
- https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
- https://fhir4.healow.com/fhir/r4/BIDADD
- 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Beaumont, TX
- NPI 1164430906
-
dba CHRISTUS Physician Group
- Family Medicine Physician
- Irving, TX
- NPI 1457382947
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Family Medicine Physician
- Beaumont, TX
- NPI 1407556871
-
dba CHRISTUS Physician Group
- Orthopaedic Surgery Physician
- Corpus Christi, TX
- NPI 1750826095
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Internal Medicine Physician
- Beaumont, TX
- NPI 1720347370
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Beaumont Hospital
- General Acute Care Hospital
- Beaumont, TX
- NPI 1093744187
-
dba CHRISTUS Southeast Texas - St. Elizabeth
- General Acute Care Hospital
- Beaumont, TX
- NPI 1679557888
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.
- 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.