Nordwanna Venite-Lubin Hysons, LPM

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

7387 Malenta CT Apt C
Fort Stewart, GA 31315-1243

Phone

(941) 467-5803

NPI assigned

Nov 29, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

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": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1679043913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7387 MALENTA CT APT C",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313151243",
            "telephone_number": "941-467-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7387 MALENTA CT APT C",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313151243",
            "telephone_number": "941-467-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYSONS",
        "first_name": "NORDWANNA",
        "middle_name": "VENITE-LUBIN",
        "name_prefix": "Mrs.",
        "credential": "LPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN094918",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Albert Hula Jr., M.D.
• Jalaigh Hunt, LPN
• Brandi Darlene Hunter, RN
• Janet Lynne Hunter, M.D., PHARM.D.
• John Richard Hurdt, NRP
• Adebisi Z Ibrahim, DIETITIAN
• Daniel Idelkope, MD
• Mitchel Ideue, PT
• Richard Ken Inae, M.D.
• Tarhonda Leah Ingram, DMD

• Counselor in Fort Stewart, GA
• Providers in Fort Stewart, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.