Individual provider Active NPI

Shem M Teya, FNP-C

  • Family Nurse Practitioner
  • Garland, TX
National Provider Identifier
1942769682
Registry record updated Oct 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140922 Issued in TX
Practice address
2940 Broadway Blvd Ste 15
Garland, TX 75041-3749
Phone
(972) 212-4586
Fax
(469) 298-0779
NPI assigned
Mar 12, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2021

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 AP140922 TX Primary

Addresses

Primary practice location

2940 Broadway Blvd Ste 15
Garland, TX 75041-3749

Mailing address

2940 Broadway Blvd Ste 15
Garland, TX 75041-3749
Phone (972) 212-4586

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
I20211117002510 TX Practitioner - Nurse Practitioner 7810223914 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
Group practices
Topcare Family and Wellness ClinicGroup PAC ID 4284960386, 2 clinicians

Practice addresses (Care Compare)

2940 Broadway Blvd
Suite 15
Garland, TX 75041-3749
Phone (972) 212-4586

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP140922TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Topcare Family & Wellness Clinic CurrentSince Oct 25, 2021 Accepting new patients

Locations

2940 Broadway Blvd
Ste 15
Garland, TX 75041
Phone (972) 212-4586

Interoperability endpoints

  • Direct secure messaging: steya@tcfw-tx.direct.office.nextgen.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633132800000",
    "number": "1942769682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 BROADWAY BLVD STE 15",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750413749",
            "telephone_number": "972-212-4586",
            "fax_number": "469-298-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 BROADWAY BLVD STE 15",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750413749",
            "telephone_number": "972-212-4586",
            "fax_number": "469-298-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEYA",
        "first_name": "SHEM",
        "middle_name": "M",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-12",
        "last_updated": "2021-10-02",
        "certification_date": "2021-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.