Shaye Lysette Walston, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

P5491 Issued in TX

Practice address

4613 S Staples St Ste CD
Corpus Christi, TX 78411-2780

Phone

(361) 851-0000

Fax

(361) 653-2543

NPI assigned

Jul 18, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shaye Lysette Tegeler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shaye Walston DO PLLC

  • Pediatrics Physician
  • Corpus Christi, TX
  • NPI 1245115138
  NPD Authorized official
• Corpus Christi Tots & Teens, PA

  • Pediatrics Physician
  • Corpus Christi, TX
  • NPI 1134250970
  NPD (past)
• Maria Luisa Lira MD PA

  • Pediatrics Physician
  • Corpus Christi, TX
  • NPI 1669540217
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1780939504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2883 FM 665",
            "city": "ROBSTOWN",
            "state": "TX",
            "postal_code": "783805951",
            "telephone_number": "361-771-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4613 S STAPLES ST STE CD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112780",
            "telephone_number": "361-851-0000",
            "fax_number": "361-653-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSTON",
        "first_name": "SHAYE",
        "middle_name": "LYSETTE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P5491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAYE",
            "last_name": "TEGELER",
            "middle_name": "LYSETTE",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angela Nicole Wallace, MS, LPC
• Erin Lee Wallace
• Richard Wallach, DDS
• Maike H Waller
• Charlotte Ann Walston, D.D.S.
• Walter F Hartman MD PA
• Kristy Walton
• Walz Vision PA
• Olivia Rose Walz, CCC-SLP
• Tim James Walz, O.D.

• Pediatrics Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.