Latisha Genise Shyne-Dixon, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

698878 Issued in CA

Practice address

5519 Rivulet Run CT
Bakersfield, CA 93313-4871

Phone

(661) 496-8705

Fax

(661) 735-7424

NPI assigned

Dec 4, 2018

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

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1477023240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5519 RIVULET RUN CT",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933134871",
            "telephone_number": "661-496-8705",
            "fax_number": "661-735-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5519 RIVULET RUN CT",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933134871",
            "telephone_number": "661-496-8705",
            "fax_number": "661-735-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHYNE-DIXON",
        "first_name": "LATISHA",
        "middle_name": "GENISE",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "698878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pankaj Shukla, MD
• James D Shuler, MD
• Barbara Shumaker, LCSW
• Jeremy Emanuel Shumaker Jr.
• Zainab Dalia Shurbaji, THERAPIST
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• Tisa Siadatie, D.D.S.
• Rukia Sial
• Siamak Karimian,MD.Prof.Corp
• Ed Marie Sibal-Gomez, M.D.

• Licensed Vocational Nurse in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.