Shawnee Lucas

Primary specialty

PerfusionistTaxonomy code 242T00000X

License

FPF00001171 Issued in TX

Practice address

2826 FM 241 S
Rusk, TX 75785-5307

Phone

(256) 520-0643

NPI assigned

May 13, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1417521691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2826 FM 241 S",
            "city": "RUSK",
            "state": "TX",
            "postal_code": "757855307",
            "telephone_number": "256-520-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 FM 241 S",
            "city": "RUSK",
            "state": "TX",
            "postal_code": "757855307",
            "telephone_number": "256-520-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "SHAWNEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "242T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Perfusionist",
            "state": "TX",
            "license": "FPF00001171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Perfusion.com",
            "affiliation": "N",
            "endpointDescription": "Cellular",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2826 Fm 241 S",
            "city": "Rusk",
            "state": "TX",
            "country_code": "US",
            "postal_code": "757855307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tamara Sue Lawson
• Lindsay Lilly
• Linda Goode
• Mattie Louise Locke
• Dana Diane Long, PMHNP-BC
• Mark C Mahand
• Lauren Nicole Main, RN, PMHNP-BC
• Mary Manis, M.S. M.D.
• James Blaine Manker, DDS
• Natisha Lee Martin, BSN, RN

• Perfusionist in Rusk, TX
• Providers in Rusk, TX by specialty
• Perfusionist in Texas

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