Grapeland Emergent Care

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GRAPELAND EMERGENT CARE

Practice address

205 Church St
Grapeland, TX 75844-2151

Phone

(936) 228-3244

Fax

(936) 687-5024

NPI assigned

Aug 29, 2024

Last updated

Sep 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chrissy Shupak, FNPNPI 1356060255

Title

FNP., Owner

Phone

(936) 228-3244

Specialties & licenses 3

Addresses

Tax ID family

Grapeland Emergent Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Grapeland Emergent Care

  dba Grapeland Urgent Care

  • General Practice Physician
  • Grapeland, TX
  • NPI 1437833738
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chrissy Shupak, APRN FNP-BC

  • Family Nurse Practitioner
  • Grapeland, TX
  • NPI 1356060255
  NPD Authorized official

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1881428977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1887 FM 231",
            "city": "LOVELADY",
            "state": "TX",
            "postal_code": "758513408",
            "telephone_number": "936-228-3244",
            "fax_number": "936-687-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 CHURCH ST",
            "city": "GRAPELAND",
            "state": "TX",
            "postal_code": "758442151",
            "telephone_number": "936-228-3244",
            "fax_number": "936-687-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAPELAND EMERGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "SHUPAK",
        "authorized_official_first_name": "CHRISSY",
        "authorized_official_title_or_position": "FNP., OWNER",
        "authorized_official_telephone_number": "936-228-3244",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindi Dancer, RN
• Alexandria Cymone Davis, LVN
• Kassie Dowling
• East Texas Medical Center Grapeland Rural Health Clinic
• Grapeland Emergent Care (Grapeland Urgent Care)
• Grapeland I. S. D.
• Don Roland Knight, DDS
• Tina Martin, LVN
• Terressa Nelson, RN, BSN
• Sarah Marie Nielsen, LPC

• General Practice Physician in Grapeland, TX
• Providers in Grapeland, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.