Active NPI
Christie Shen, M.D.
- Family Medicine Physician
- Round Rock, TX
National Provider Identifier
1902062169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- P0293
- Practice address
- 425 University Blvd
Round Rock, TX 78665-1053 - Phone
- (512) 509-0200
- NPI assigned
- Aug 6, 2008
- Last updated
- Sep 8, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A100089 | CA | |
| Family Medicine Physician | 207Q00000X | P0293 | TX | Primary |
Addresses
Primary practice location
425 University Blvd
Round Rock, TX 78665-1053
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-8800
Other names 1
- Christie Au
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Sep 11, 2024 through Sep 11, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A100089 | CA | MD | Family Medicine Physician |
| P0293 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochna Health | Past | Accepting new patients | |
| Family Medicine Associates of San Jose Inc | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- christie.shen@160177656168452.direct.elationemr.com
- christie.shen@49420620398596.direct.elationemr.com
- cshen11189@direct.sw.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Georgetown, TX
- NPI 1417404153
-
- Family Medicine Physician
- San Jose, CA
- NPI 1932268109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1902062169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658",
"telephone_number": "254-724-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 UNIVERSITY BLVD",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786651053",
"telephone_number": "512-509-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEN",
"first_name": "CHRISTIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-06",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A100089",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "P0293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTIE",
"last_name": "AU",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.