Shennelle Lawrence, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN101453 Issued in GA

Practice address

3196 Mount Zion Rd Apt 4404
Stockbridge, GA 30281-7855

Phone

(518) 210-3321

NPI assigned

May 6, 2024

Last updated

May 6, 2024By 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

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": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1558118588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3196 MOUNT ZION RD APT 4404",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817855",
            "telephone_number": "518-210-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3196 MOUNT ZION RD APT 4404",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817855",
            "telephone_number": "518-210-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "SHENNELLE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN101453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Kim Lattimore-Smith, L.P.C.
• Amanda Michelle Lauderback, NP
• Nykiyah Renee' Lavender, DPT
• Donnisha M Lavigne, LPC
• Latasha Lawrence
• Kianna Lawson, PA-C
• William Logan Layfield, PA-C
• LBC Stockbridge LLC (Monarch Villa at Stockbridge)
• Kaelyn Leaphart
• Steven W Leard, M.D.

• Licensed Practical Nurse in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.