Lisa Michelle Shamblin, APMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

704973 Issued in TX

Practice address

1245 S. Main St.
#120
Grapevine, TX 76051

Phone

(817) 310-0722

NPI assigned

Mar 10, 2009

Last updated

Aug 19, 2011By the provider in NPPES

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Carmen Pemberton PLLC

  • Adult Mental Health Clinic/Center
  • Grapevine, TX
  • NPI 1568883858
  NPD (past)
• Psych Investments LLC

  • Adult Mental Health Clinic/Center
  • Grapevine, TX
  • NPI 1730771726
  NPD (past)

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1497996177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 CARNABY LN",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281520",
            "telephone_number": "972-510-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 S. MAIN ST.",
            "address_2": "#120",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "76051",
            "telephone_number": "817-310-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMBLIN",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "credential": "APMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-10",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "704973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Munazza Sethi, MD
• Shabaz Khan, PLLC
• Saba Shabnam, MD
• Shahid Shafi, MD MPH
• Mohammed Usman Shaikh, M.D.
• Elise Shankle, FNP
• Shannon Semersky Counseling (Highland Family Counseling)
• Marvin Boyd Shannon III, L.P.C.
• Share Dentistry Grapevine, PLLC
• Sharon J. Pignolet, D.C., P.C. (Dove Chiropractic Health Center)

• Psychiatric/Mental Health Nurse Practitioner in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.