Individual provider Active NPI

Christina D'Lynn Tate, FNP-C

  • Family Nurse Practitioner
  • Joshua, TX
National Provider Identifier
1871212852
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1090724 Issued in TX
Practice address
6049 FM 1902
Joshua, TX 76058-4593
Phone
(985) 249-8250
NPI assigned
Aug 24, 2022
Last updated
Aug 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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 1090724 TX Primary

Addresses

Primary practice location

6049 FM 1902
Joshua, TX 76058-4593

Mailing address

6049 FM 1902
Joshua, TX 76058-4593
Phone (985) 249-8250

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
I20230414001240 TX Practitioner - Nurse Practitioner 4880069350 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Telehealth Services of Texas Association Multi-Specialty CurrentSince Mar 13, 2023 Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

2200 Matlock Rd
Mansfield, TX 76063
Phone (817) 453-0267

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

Interoperability endpoints

  • Direct secure messaging: christina.tate.1@22349.direct.athenahealth.com
  • Direct secure messaging: christina.tate@160177656168452.direct.elationemr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1871212852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6049 FM 1902",
            "city": "JOSHUA",
            "state": "TX",
            "postal_code": "760584593",
            "telephone_number": "985-249-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6049 FM 1902",
            "city": "JOSHUA",
            "state": "TX",
            "postal_code": "760584593",
            "telephone_number": "985-249-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "CHRISTINA",
        "middle_name": "D'LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1090724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joshua, TX

Sources for this page

Verify at the official NPI Registry.