MRS. CHRISTIE PHEONA LATHAN (FNP-BC) – Family Nurse Practitioner, NPI 1215180047

MRS. CHRISTIE PHEONA LATHAN (FNP-BC) is a healthcare provider. based in Lufkin, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. AP130797 (TX). The NPI Number for MRS. CHRISTIE PHEONA LATHAN (FNP-BC) is 1215180047

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CHRISTIE PHEONA LATHAN (FNP-BC)
NPI
1215180047
Phone
(936) 632-8787
Address
310 GASLIGHT BLVD
Enumeration Date
24 October 2008
Last Update Date
7 June 2024

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9365683441
Graduation Year
2007 (19 years ago)
PAC ID
1052443736
Group Practice PAC ID
6507760543
Professional Enrollment ID
I20160701001103
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:17State licenses:3Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for MRS. CHRISTIE PHEONA LATHAN (FNP-BC)

  • 310, Gaslight Boulevard, Lufkin, Angelina County, Texas, 75904, United States

    LUFKIN, TX 759043133

    Phone: (936) 632-8787

    Type: Location

  • County Road, Nacogdoches County, Texas, United States

    NACOGDOCHES, TX 759657319

    Phone: (404) 274-0414

    Type: Mailing

  • 4610 S Ulster St Ste 150

    Denver, CO 802374326

    Phone: (888) 803-3370

    Type: Location

  • 1400 N Coit Rd Ste 302

    McKinney, TX 750716656

    Phone: (888) 803-3370

    Type: Location

  • 204 COUNTY ROAD 120

    NACOGDOCHES, TX 759658737

    Phone: (404) 274-0414

    Type: Mailing

  • 1201 W FRANK AVE

    LUFKIN, TX 759043357

    Phone: (936) 634-8111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160701001103INurse PractitionerTXTBD
I20250908001448INurse PractitionerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making127121$0
99284Emergency department visit with moderate level of medical decision making9994$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3935$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1412$0
View full utilization report →

Insurance plans in this area (ZIP 75904)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507760543View full group profile

Reviews

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Frequently asked questions

What federal number belongs to MRS. CHRISTIE PHEONA LATHAN (FNP-BC)?
The federal identifier for MRS. CHRISTIE PHEONA LATHAN (FNP-BC) is NPI 1215180047.
Is MRS. CHRISTIE PHEONA LATHAN (FNP-BC)'s NPI currently valid?
The extract we use shows MRS. CHRISTIE PHEONA LATHAN (FNP-BC) as active.
What kind of provider is MRS. CHRISTIE PHEONA LATHAN (FNP-BC)?
The page reflects Family Nurse Practitioner for MRS. CHRISTIE PHEONA LATHAN (FNP-BC). Clinical services aligned with this taxonomy classification.
What location shows for MRS. CHRISTIE PHEONA LATHAN (FNP-BC)?
We surface Lufkin, Texas for MRS. CHRISTIE PHEONA LATHAN (FNP-BC) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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