Shannon Marie Shelton, LVN
Individual provider Active NPI Licensed Vocational Nurse · Windom, TX
NPI 1063914901 · NPPES record last updated Mar 7, 2018
Key facts
- NPI
- 1063914901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 217286 (TX)
- Practice address
- 308 Wall St
Windom, TX 75492-5406 - Phone
- (903) 449-8723
- NPI assigned
- Mar 7, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 217286 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 217286 | TX | Yes |
Addresses
Primary practice location
308 Wall St
Windom, TX 75492-5406
Mailing address
308 Wall St
Windom, TX 75492-5406
Phone (903) 449-8723
Other providers in Windom, TX
All providers in Windom, TX · Licensed Vocational Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.