Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Desiree L Shoemaker

Individual provider Acute Care Nurse Practitioner · NPI 1366399941

Desiree L Shoemaker is a Nurse Practitioner in Fort Worth, Texas. Qualified in 2025, 1 year ago. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2026
Specialties on file
5
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Practice location Address checks out

9120 Tyne Trl
Fort Worth, TX 76118-7576
Phone: (414) 708-0036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1033002 (TX)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 1033002 (TX)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 1033002 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 1033002 (TX)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 1033002 (TX)

Record details

NPI number1366399941
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 12, 2026
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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