Individual provider Active NPI

Yasheka Shonte' Roy, FNP-BC

  • Family Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1952750424
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130980 Issued in TX
Practice address
3080 College St
Beaumont, TX 77701-4606
Phone
(409) 212-7474
Fax
(409) 212-7470
NPI assigned
Jun 6, 2016
Last updated
Jun 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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 AP130980 TX Primary

Addresses

Primary practice location

3080 College St
Beaumont, TX 77701-4606

Mailing address

3080 College St
Beaumont, TX 77701-4606
Phone (409) 212-7474

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
I20181112000461 TX Practitioner - Nurse Practitioner 8325392376 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4886 Dowlen Rd
Beaumont, TX 77708-4828
Phone (409) 273-7235

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (TX) PA CurrentSince Nov 29, 2021 Accepting new patients
Baptist Physician Network CurrentSince Jul 20, 2018 Accepting new patients
Centerwell Senior Primary Care (TX) PA CurrentSince Nov 29, 2021 Accepting new patients
Centerwell Senior Primary Care (TX) PA Current Accepting new patients
Centerwell Senior Primary Care (TX) PA Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

3080 College St
Beaumont, TX 77701
Phone (409) 212-5000

3555 Stagg Dr
Beaumont, TX 77701
Phone (409) 212-5922

4886 Dowlen Rd
Beaumont, TX 77708
Phone (409) 273-7235

810 Hospital Dr
Ste 300
Beaumont, TX 77701
Phone (409) 813-2111

810 Hospital Dr
Ste 350
Beaumont, TX 77701
Phone (409) 212-7474

381 S Loop 336 W
Ste 900
Conroe, TX 77304
Phone (936) 703-1827

3209 W Camp Wisdom Rd
Dallas, TX 75237
Phone (469) 457-2694

4200 South Fwy
Ste 1990
Fort Worth, TX 76115
Phone (682) 990-6491

9688 FM 1960 Bypass Rd W
Humble, TX 77338
Phone (281) 318-2401

3915 Spencer Hwy
Pasadena, TX 77504
Phone (713) 265-6955

8555 Memorial Blvd
Ste 100
Port Arthur, TX 77640
Phone (409) 237-6480

Interoperability endpoints

  • Direct secure messaging: yasheka.roy.1@29601.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1952750424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 COLLEGE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014606",
            "telephone_number": "409-212-7474",
            "fax_number": "409-212-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 COLLEGE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014606",
            "telephone_number": "409-212-7474",
            "fax_number": "409-212-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "YASHEKA",
        "middle_name": "SHONTE'",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.