Shane Ashley Correa, NP

Nurse practitioner in Tyler, Texas · NPI 1255801189

Shane Correa is one of 637 nurse practitioners practicing in Tyler, Texas. Shane Correa practices with Etmc Physician Group, Inc.

Registry record (NPPES)

NPI
1255801189
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
1000 S Beckham Ave
Tyler, TX 75701-1908
(903) 590-5611
Enumerated
Dec 4, 2018
Record last updated
May 15, 2024
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Nurse Practitioner
Revalidation due
No date set by CMS

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Practice locations

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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.