Shonna Nicole Bizzell

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

188118 Issued in TX

Practice address

216 N John Redditt Dr
Lufkin, TX 75904-2620

Phone

(936) 637-2223

Fax

(936) 637-2220

NPI assigned

Mar 22, 2021

Sex

Female

Sole proprietor

No

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, last updated by the provider on Mar 22, 2021.

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1689250573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 N JOHN REDDITT DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759042620",
            "telephone_number": "936-637-2223",
            "fax_number": "936-637-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N JOHN REDDITT DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759042620",
            "telephone_number": "936-637-2223",
            "fax_number": "936-637-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIZZELL",
        "first_name": "SHONNA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "188118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Texas, Inc.
• Amelia Birdwell
• Harold Lee Bishop, CRNA
• Tammy Lynn Bishop, LVN
• Danny Wayne Bizzell, LVN
• Lynn Sobray Blackwell, OTR
• Blaine Randall Blakestad MD PA
• Cindy Blake
• Blaine Randall Blakestad, MD
• Maria Magdalena Blalock, FNP

• All providers in Lufkin, TX
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.