Shantel Monique Doffoney, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

311662 Issued in TX

Practice address

3027 Marina Bay Dr Ste 344
League City, TX 77573-3089

Phone

(281) 968-2745

Fax

(281) 968-2747

NPI assigned

Sep 20, 2021

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• First Choice Childrens Homecare LP

  • Home Health Agency
  • Stafford, TX
  • NPI 1487634739
  NPD (past)

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1396415485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2398 MONICA ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777074512",
            "telephone_number": "832-231-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3027 MARINA BAY DR STE 344",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733089",
            "telephone_number": "281-968-2745",
            "fax_number": "281-968-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOFFONEY",
        "first_name": "SHANTEL",
        "middle_name": "MONIQUE",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "311662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liesje Dixon, ARNP
• DM Friendly Family Healthcare
• DO the Work Counseling Services
• DO Things That Heal LLC
• Jenny Thanh DO, MS
• Elizabeth Ann Doise, D.C.
• Christine M Dolson, DDS
• Miranda Michelle Donahue
• Michelle L Dortch, A-GNP
• Terri Lynn Dotson, M.S. CCC/SLP

• Licensed Vocational Nurse in League City, TX
• Providers in League City, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.