Individual provider Active NPI

Sharena Lightfoot, LMT, LPN

  • Licensed Practical Nurse
  • Houston, TX
National Provider Identifier
1043988827
Registry record updated Sep 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
20170679 Issued in LA
Practice address
1911 Westmead Dr Apt 2305
Houston, TX 77077-4717
Phone
(985) 709-7955
NPI assigned
Sep 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 20170679 LA Primary

Addresses

Primary practice location

1911 Westmead Dr Apt 2305
Houston, TX 77077-4717

Mailing address

712 Wilcrest Dr Ste 171
Houston, TX 77042-1348
Phone (985) 709-7955

Other names 1

  • Sharena L Lightfoot Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
20170679LAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1630800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630800000000",
    "number": "1043988827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 WILCREST DR STE 171",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770421348",
            "telephone_number": "985-709-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 WESTMEAD DR APT 2305",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770774717",
            "telephone_number": "985-709-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHTFOOT",
        "first_name": "SHARENA",
        "credential": "LMT, LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-05",
        "last_updated": "2021-09-05",
        "certification_date": "2021-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "LA",
            "license": "20170679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARENA",
            "last_name": "LIGHTFOOT",
            "middle_name": "L",
            "credential": "LPN, LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2021; 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.