Lana Shanise Watson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2010037157 Issued in MO

Practice address

4447 N Highway 67
Florissant, MO 63034-2831

Phone

(314) 200-2399

Fax

(314) 202-7677

NPI assigned

Jan 25, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Lana Shanise Cunningham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Life Enhancements Medical Testing and Diagnostic Services

  • Clinical Medical Laboratory
  • Florissant, MO
  • NPI 1346110475
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1023389889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4447 N HIGHWAY 67",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342831",
            "telephone_number": "314-200-2399",
            "fax_number": "314-202-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4447 N HIGHWAY 67",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342831",
            "telephone_number": "314-200-2399",
            "fax_number": "314-202-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "LANA",
        "middle_name": "SHANISE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MO",
            "license": "2010037157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LANA",
            "last_name": "CUNNINGHAM",
            "middle_name": "SHANISE",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Willliam Lee Washington Jr.
• Ardella Watkins
• Cami Lynn Watkins, M.D.
• Emily R Watkins, DPT
• Brielle Watson
• Toni Rena Watson
• Keyion Aaron Watts Sr.
• Roger Waxelman, M.D.
• Kathryn Kristine Weigel, LCSW
• Kyle Weindel, DPT

• Licensed Practical Nurse in Florissant, MO
• Providers in Florissant, MO by specialty
• Licensed Practical Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.