Active NPI
Shontel Terrell
- Licensed Vocational Nurse
- Converse, TX
National Provider Identifier
1679032114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 220673
- Practice address
- 6531 Davenport Bay
Converse, TX 78109-3800 - Phone
- (210) 884-7876
- NPI assigned
- Mar 14, 2019
- Last updated
- Mar 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 220673 | TX | Primary |
Addresses
Primary practice location
6531 Davenport Bay
Converse, TX 78109-3800
Mailing address
6531 Davenport Bay
Converse, TX 78109-3800
Phone (210) 884-7876
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220673 | TX | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552521600000",
"number": "1679032114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6531 DAVENPORT BAY",
"city": "CONVERSE",
"state": "TX",
"postal_code": "781093800",
"telephone_number": "210-884-7876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6531 DAVENPORT BAY",
"city": "CONVERSE",
"state": "TX",
"postal_code": "781093800",
"telephone_number": "210-884-7876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRELL",
"first_name": "SHONTEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-14",
"last_updated": "2019-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "220673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Converse, TX
- Jasmine Desiree Sutton, APRN, AGNP-C
- Rene Talbot, CRC, LPC
- Griselda Gonzales Tamez, R.PH. , PHARM. D.
- Andres Tano Robles
- Kenneth James Teninty, LMT
- Texas Medical Transportation Corp
- Texass Medical Transportation
- The Light Family Dental and Implant Dentistry PLLC
- The Wife Family Therapy, PLLC
- Akeila Oji Thompson, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.