Nakisha Nicole Pannell

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

0002096536 Issued in VA

Practice address

4000 Murray PL
Lynchburg, VA 24501-5004

Phone

(434) 439-3283

Fax

(434) 818-0943

NPI assigned

Sep 2, 2022

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Virginia Treatment Center

  • Methadone Clinic
  • Roanoke, VA
  • NPI 1811035520
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 2, 2022.

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1699495168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MURRAY PL",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245015004",
            "telephone_number": "434-439-3283",
            "fax_number": "434-818-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MURRAY PL",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245015004",
            "telephone_number": "434-439-3283",
            "fax_number": "434-818-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANNELL",
        "first_name": "NAKISHA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "0002096536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prema Madhuri Pamireddy, M.D.
• Enoch Pan
• Deepika Pandian
• Ryan Matthew Pandya
• Evangelette Wilson Pannell, LPTA/CWCA
• Quanna Pannell
• Vonte Rishaun Pannell
• Carmen Parish
• Kyoungyoun Park-Braswell
• Hyemin Park

• All providers in Lynchburg, VA
• Licensed Practical Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.