Trisha Shockley, RN

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

640348 Issued in TX

Practice address

304 County Road 2311
Mineola, TX 75773-3748

Phone

(903) 787-0330

NPI assigned

Apr 13, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1083148332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 COUNTY ROAD 2311",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "757733748",
            "telephone_number": "903-787-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 COUNTY ROAD 2311",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "757733748",
            "telephone_number": "903-787-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOCKLEY",
        "first_name": "TRISHA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "640348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karl Gerhard Scheffrahn, DDS
• Scott D Franklin LLC
• Solomon Sekyere
• Anna Corinne Sharp, LCDC
• Lucas Shipman, D.D.S.
• Deborah C Sitton, ANP
• Nancy Renee Smith, LPC
• Adam Solomon, DDS
• Roger Paul Stai, RPH
• Stratford Hospital District

• All providers in Mineola, TX
• Registered Nurse First Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.