MEDICARE: DESIREE L SHOEMAKER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	1033002	TX
2	363LA2200X	Adult Health Nurse Practitioner	1033002	TX
3	363LF0000X	Family Nurse Practitioner	1033002	TX
4	363LP2300X	Primary Care Nurse Practitioner	1033002	TX
5	363L00000X	Nurse Practitioner	1033002	TX

General Provider Information

NPI Number	:	1366399941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DESIREE L SHOEMAKER

Provider Business Mailing Address
First Line	:	9120 TYNE TRL
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76118-7576
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9120 TYNE TRL
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76118-7576
Country	:	US
Telephone Number	:	414-708-0036
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

Similar Medicare Providers

1699069013 — LONE STAR DENTAL AND BRACES, PLLC
Practice Location Address:

2516 NE 28TH ST SUITE 100
FT WORTH, TX
76106-7576

Practice Phone: 817-744-8440
Practice Fax:

1538167622 — SENIOR HEALTH RICHLAND LLC
Practice Location Address:

3109 KINGS COURT
FORT WORTH, TX
76118-0000

Practice Phone: 817-589-2431
Practice Fax: 817-284-2431

1164423513 — COLLECTIVE SERVICES, INC
Practice Location Address:

2435 GRAVEL DR
FORT WORTH, TX
76118-6937

Practice Phone: 817-595-1556
Practice Fax: 817-595-1536

1831182054 — METROCARE HOME MEDICAL EQUIPMENT, INC.
Practice Location Address:

2631 GRAVEL DR
FORT WORTH, TX
76118-6982

Practice Phone: 972-647-0111
Practice Fax: 972-647-0040

1972596195 — METROCARE HOME MEDICAL EQUIPMENT, INC.
Practice Location Address:

2631 GRAVEL DR
FORT WORTH, TX
76118-6982

Practice Phone: 972-647-0111
Practice Fax:

1790753689 — BREATH OF LIFE, INC.
Practice Location Address:

2612 GRAVEL DR , BLDG 7
FORT WORTH, TX
76118

Practice Phone: 866-777-3380
Practice Fax: 888-882-4004

Directions to “ DESIREE L SHOEMAKER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.