Petra Lashun Telford, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

200473 Issued in TX

Practice address

3108 S Fillmore St
Amarillo, TX 79110-1026

Phone

(806) 374-5516

NPI assigned

Sep 17, 2012

Last updated

Sep 17, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amarillo Multiservice Center for the Aging, Inc.

  dba DBA The Basics At Jan Werner

  • PACE Provider Organization
  • Amarillo, TX
  • NPI 1356397301
  NPD (past)

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1417207408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 S FILLMORE ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791101026",
            "telephone_number": "806-374-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 S FILLMORE ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791101026",
            "telephone_number": "806-374-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELFORD",
        "first_name": "PETRA",
        "middle_name": "LASHUN",
        "name_prefix": "Mrs.",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "200473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayne R Teichelman, NP
• Terresa Teig
• Nishit Tejani, DDS
• Hagos Tekeste, M.D.
• Janaizia Telford
• Zantayveiss Telford
• Victoria Megan Temple, LCSW
• Emily Tennyson, LPC-A
• John Michael Tenorio, D.D.S.
• Suzzanne Victoria Tenorio, R.N., M.S.N., F.N.P

• Licensed Vocational Nurse in Amarillo, TX
• Providers in Amarillo, 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 17, 2012; 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.