Yolanda Shivers, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

345417 Issued in TX

Practice address

1651 Rock Prairie Rd Ste 101
College Station, TX 77845-8652

Phone

(979) 599-9580

NPI assigned

Aug 19, 2021

Last updated

Aug 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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.

• Symetria Health of Texas, L.L.C.

  dba Symetria- College Station Outpatient Rehab & Suboxone Clinic

  • Multi-Specialty Clinic/Center
  • College Station, TX
  • NPI 1053097121
  NPD
• Symetria Health of Texas, LLC

  dba Symetria Recovery at College Station

  • Substance Use Disorder Rehabilitation Clinic/Center
  • College Station, TX
  • NPI 1235644709
  NPD

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1669148722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 PORTERS WAY",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778031581",
            "telephone_number": "979-703-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 ROCK PRAIRIE RD STE 101",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458652",
            "telephone_number": "979-599-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVERS",
        "first_name": "YOLANDA",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "345417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clint Stewart Sherrouse, FNP
• Monica Shields, RD
• Shini OD PA (EyeTrends)
• Simaan Shini, O.D.
• Amie Lynn Shird, LVN
• Mimi M Sicilio, BS IN PT
• Melissa Silva
• Alden Lane Simmons, DPM
• Krystal T. Simmons, LSSP, NCSP, LP
• Troy D. Simon, M.D.

• Licensed Vocational Nurse in College Station, TX
• Providers in College Station, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.