LAMAR UNIVERSITY STUDENT HEALTH CTR
NPI 1003129891
Nurse Practitioner in Beaumont, TX

NPI Status: Active since July 21, 2010

Contact Information

857 E VIRGINIA ST
BEAUMONT, TX
ZIP 77705
Phone: (409) 880-8466
Fax: (409) 880-7703

Get Directions Reviews

  • Organization
  • Nurse Practitioner
  • CLIA Number: 45D0692478
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 05-30-2026

About LAMAR UNIVERSITY STUDENT HEALTH CTR

This page provides the complete NPI Profile along with additional information for Lamar University Student Health Ctr, a provider established in Beaumont, Texas operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1003129891 assigned on July 2010. The practitioner's primary taxonomy code is 363L00000X with license number 618115 (TX). The provider is registered as an organization and their NPI record was last updated 15 years ago. Lamar University Student Health Ctr operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Shawn Gray Rnmsnenp (Coordinator/nurse)

NPI
1003129891
Provider Name
LAMAR UNIVERSITY STUDENT HEALTH CTR
Entity Type
Organization
Location Address
857 E VIRGINIA ST BEAUMONT, TX 77705
Location Phone
(409) 880-8466
Location Fax
(409) 880-7703
Mailing Address
P O BOX 10015 857 E VIRGINIA BEAUMONT, TX 77710
Mailing Phone
(409) 880-8466
Mailing Fax
(409) 880-7703
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-21-2010
Last Update Date
07-21-2010
Code Navigator

A nurse practitioner (NP) like Lamar University Student Health Ctr is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
618115
License State
TX
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHAWN GRAY RNMSNENP

Authorized Official Title
COORDINATOR/NURSE
Authorized Official Phone
(409) 880-8466

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
P50618MEDICARE UPIN (02)TN 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D0692478
Facility Type
School/Student Health Service
Certificate Effective Date
May 31, 2024
Certificate Expiration Date
May 30, 2026
Laboratory Director
MICHAEL KOLCUN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Lamar University Student Health Ctr to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for LAMAR UNIVERSITY STUDENT HEALTH CTR

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003129891
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20032218818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 2 + 2 + 1 + 8 + 8 + 1 + 8 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1003129891 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467602383MS. EDITH RENEE ROBERT NP
Individual
Nurse Practitioner (Family)857 E VIRGINIA ST
BEAUMONT, TX 77705
(409) 880-8465
1467603936MS. MARTHA HARDIE RNC, WHNP
Individual
Nurse Practitioner (Obstetrics & Gynecology)857 E VIRGINIA ST
BEAUMONT, TX 77705
(409) 880-8466

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003129891, enumerated in the NPI registry as an "organization" on July 21, 2010

The provider is located at 857 E Virginia St Beaumont, Tx 77705 and the phone number is (409) 880-8466

This medical organization specializes in Nurse Practitioner with taxonomy code 363L00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 45D0692478 for a "school/student health service" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 21, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.