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

Active since July 21, 2010CLIA 45D0692478 · Waiver
857 E VIRGINIA ST, BEAUMONT, TX 77705(409) 880-8466(409) 880-7703 Get Directions Write a Review

NPPES record last updated: July 21, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lamar University Student Health Ctr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAMAR UNIVERSITY STUDENT HEALTH CTR (NPI 1003129891) is a healthcare organization registered as a nurse practitioner in Beaumont, Texas and active in the NPI registry since July 2010. The organization holds a CLIA Waiver certificate valid through May 30, 2028 and lists Shawn Gray, Coordinator/nurse, as its authorized official.

NPPES Registry Identity

NPI1003129891
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameLAMAR UNIVERSITY STUDENT HEALTH CTR
Location Address857 E VIRGINIA STBeaumont, TX 77705-5546
Mailing AddressP O Box 10015, 857 E VirginiaBeaumont, TX 77710-5546 · (409) 880-8466 · Fax (409) 880-7703
Phone(409) 880-8466
Fax(409) 880-7703
Organization SubpartNo
Authorized OfficialShawn GrayCoordinator/nurse · (409) 880-8466
Enumeration DateJuly 21, 2010
✔ NPI 1003129891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 618115
Definition
(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.
857 E VIRGINIA ST, Beaumont, TX 77705
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Other Identifiers 1

Medicare UPINP50618TN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0692478

Lamar University Health Center · Beaumont, TX
Active · expires May 30, 2028
CLIA Number45D0692478
Laboratory TypeSchool/Student Health Service
Certificate Effective DateMay 31, 2026
Certificate Expiration DateMay 30, 2028
Laboratory DirectorMichael Kolcun
Laboratory Phone(409) 880-8466
Laboratory LocationLamar University Health Center4465 Jimmy Simmons Blvd, Beaumont, TX 77705
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. EDITH RENEE ROBERT NP
Nurse Practitioner (Family)
857 E VIRGINIA ST
BEAUMONT, TX 77705
Jefferson County (409) 880-8465
MS. MARTHA HARDIE RNC, WHNP
Nurse Practitioner (Obstetrics & Gynecology)
857 E VIRGINIA ST
BEAUMONT, TX 77705
Jefferson County (409) 880-8466

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lamar University Student Health Ctr's NPI number?

The NPI number for Lamar University Student Health Ctr is 1003129891. It was assigned to this organization in the NPPES registry on July 21, 2010.

Where is Lamar University Student Health Ctr located?

Lamar University Student Health Ctr is located at 857 E Virginia St, Beaumont, TX 77705. The listed phone number is (409) 880-8466.

What is Lamar University Student Health Ctr's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Lamar University Student Health Ctr hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0692478) is associated with this NPI, valid through May 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lamar University Student Health Ctr was last updated on July 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.