Individual provider Active NPI

Christie Eddins, FNP-C

  • Family Nurse Practitioner
  • Shenandoah, TX
National Provider Identifier
1891252060
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140412 Issued in TX
Practice address
9180 Pinecroft Dr Ste 600
Shenandoah, TX 77380
Phone
(281) 296-0365
Fax
(281) 298-8907
NPI assigned
Feb 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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 AP140412 TX Primary

Addresses

Primary practice location

9180 Pinecroft Dr Ste 600
Shenandoah, TX 77380

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other practice location 1

1155 Pressler St
Houston, TX 77030-3721
Phone (713) 794-4776

Other practice location 2

9180 Pinecroft Dr Ste 600
Shenandoah, TX 77380-3883
Phone (281) 296-0365

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
I20190828002397 TX Practitioner - Nurse Practitioner 6103154125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

9180 Pinecroft Dr
Suite 600
Shenandoah, TX 77380-3883
Phone (281) 296-0365

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP140412TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA CurrentSince Jul 15, 2019 Accepting new patients
Texas Oncology PA CurrentSince Jul 15, 2019 Accepting new patients

Locations

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

925 Gessner Rd
Ste 310
Houston, TX 77024
Phone (713) 467-1630

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

9180 Pinecroft Dr
Ste 600
Shenandoah, TX 77380
Phone (281) 296-0365

Interoperability endpoints

  • Direct secure messaging: christie.eddins@txo.ikm.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1891252060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9180 PINECROFT DR STE 600",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "77380",
            "telephone_number": "281-296-0365",
            "fax_number": "281-298-8907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 Pressler St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770303721",
            "country_code": "US",
            "telephone_number": "713-794-4776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9180 Pinecroft Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773803883",
            "country_code": "US",
            "telephone_number": "281-296-0365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDDINS",
        "first_name": "CHRISTIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.