Christus Health Southeast Texas

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

CHRISTUS HEALTH SOUTHEAST TEXAS

Practice address

2830 Calder St
Beaumont, TX 77702-1809

Phone

(409) 892-7171

Fax

(409) 899-8191

NPI assigned

Sep 9, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Paul Trevino

Title

President / Ceo

Phone

(409) 899-7102

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Christus Health Southeast Texas

  • Cardiovascular Disease Physician
  • Beaumont, TX
  • NPI 1427370477

  O20040609000399

  Same enrollment
• Christus Health Southeast Texas

  dba CHRISTUS Southeast Texas - St. Elizabeth

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1679557888

  O20040609000399

  Same enrollment

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jorge A Hernandez, MD

  • Cardiovascular Disease Physician
  • Beaumont, TX
  • NPI 1356338347
  NPD
• Brooke Leigh Kelley, MSN WHNP-BC IBCLC

  • Women's Health Nurse Practitioner
  • Port Arthur, TX
  • NPI 1538658786
  NPD
• Thomas Randolph Lombardo, MD

  • Cardiovascular Disease Physician
  • Beaumont, TX
  • NPI 1891791091
  NPD
• Melissa Simone Malley, RN, FNP

  • Family Nurse Practitioner
  • Beaumont, TX
  • NPI 1548439904
  NPD
• Amanda Minick Reneau, APN

  • Family Nurse Practitioner
  • Beaumont, TX
  • NPI 1205271434
  NPD

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1942517172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848060",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752848060",
            "telephone_number": "800-756-7999",
            "fax_number": "469-282-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 CALDER ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021809",
            "telephone_number": "409-892-7171",
            "fax_number": "409-899-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTUS HEALTH SOUTHEAST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "TREVINO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "409-899-7102",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133240508",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheena Goudeaux Christian
• Christopher P. Dowdy, M.D., P.a.
• Christus Continuing Care (CHRISTUS Dubuis Hospital of Beaumont)
• Christus Health Southeast Texas
• Christus Health Southeast Texas (CHRISTUS Southeast Texas - St. Elizabeth)
• Christus Trinity Clinic
• Charles R Christy, RN MSN CFNP
• CHS Texas Medical, P.a. (Goodlife Health Center)
• Nathan Chukwulobe
• Shelby Odell Church Jr., PA-C

• Certified Registered Nurse Anesthetist in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.