Active NPI
Shayna Roberts, LPN
- Licensed Vocational Nurse
- Arlington, TX
National Provider Identifier
1295207694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 1016290
- Practice address
- 612 E Lamar Blvd
Arlington, TX 76011-4121 - Phone
- (877) 847-9355
- NPI assigned
- Dec 23, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 1016290 | TX | Primary |
| Licensed Practical Nurse | 164W00000X | LP60452766 | WA |
Addresses
Primary practice location
612 E Lamar Blvd
Arlington, TX 76011-4121
Mailing address
6301 Stonewood Dr Apt 1827
Plano, TX 75024-5275
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
| License | State | Type | Specialty |
|---|---|---|---|
| LP60452766 | WA | MD | Licensed Practical Nurse |
| 1016290 | TX | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1295207694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6301 STONEWOOD DR APT 1827",
"city": "PLANO",
"state": "TX",
"postal_code": "750245275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 E LAMAR BLVD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760114121",
"telephone_number": "877-847-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "SHAYNA",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-23",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "1016290",
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WA",
"license": "LP60452766",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.