Lakeitha Lashun Van Zandt Muckelroy, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

845060 Issued in TX

Practice address

1301 E Debbie LN Ste 210
Mansfield, TX 76063-3305

Phone

(817) 891-1169

NPI assigned

Nov 1, 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

Locations

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.

• Caring Hands Adult Day Center

  • Adult Day Care Clinic/Center
  • The Colony, TX
  • NPI 1336804780
  NPD Authorized official
• Caring Hands Adult Day Center

  • Home Health Agency
  • Mansfield, TX
  • NPI 1447915715
  NPD Authorized official

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1538824974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E DEBBIE LN STE 210",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633305",
            "telephone_number": "817-891-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E DEBBIE LN STE 210",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633305",
            "telephone_number": "817-891-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ZANDT MUCKELROY",
        "first_name": "LAKEITHA",
        "middle_name": "LASHUN",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "845060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uu Medical Logistics LLC
• Leah Valdez
• Elizabeth Renteria Valles, FNP
• Valmer Enterprises Inc
• Valor Wellness and Salud Mental Services LLC
• Lindsey Vandyke, D.O.
• Tiffany Vangundy, MPAS
• Farah Vann, LPC
• Sonaj Vardhaman
• Jason Varghese, MD

• Registered Nurse in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.