Active NPI
Shanon Leigh Coulter, RN
- Plastic Surgery Registered Nurse
- Lubbock, TX
National Provider Identifier
1205744455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Registered Nurse
- License
- 647411
- Practice address
- 10703 Milwaukee Ave
Lubbock, TX 79424-6153 - Phone
- (806) 777-1350
- NPI assigned
- Aug 31, 2026
- Last updated
- Aug 31, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Registered Nurse | 163WS0121X | 647411 | TX | Primary |
Addresses
Primary practice location
10703 Milwaukee Ave
Lubbock, TX 79424-6153
Mailing address
10703 Milwaukee Ave
Lubbock, TX 79424-6153
Phone (806) 777-1350
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1205744455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10703 MILWAUKEE AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794246153",
"telephone_number": "806-777-1350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10703 MILWAUKEE AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794246153",
"telephone_number": "806-777-1350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COULTER",
"first_name": "SHANON",
"middle_name": "LEIGH",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0121X",
"taxonomy_group": "",
"desc": "Registered Nurse, Plastic Surgery",
"state": "TX",
"license": "647411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
- Kezia E. Cottenoir, APNP
- Melissa Holtzman Cottenoir, LVN
- Matthew Cotton, FNP
- Robert Couch, MD
- Marianne Coughlon, PHARMD
- Courtney Walraven LCSW PLLC
- Kira Cousatte, NNP-BC
- Brooke Ashley Covel, MED, ATC, LAT
- Covenant Health Center (Covenant Breast Center)
- Covenant Health Partners, Inc. (Covenant Health Partners)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.