Lana Anne Puckett

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

719809 Issued in TX

Practice address

120 N Walnut St
Jefferson, TX 75657-1934

Phone

(903) 665-6131

NPI assigned

Sep 4, 2018

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 and National Provider Directory roles.

• First in Pediatrics Home Health Care, Inc.

  • Home Health Agency
  • Jefferson, TX
  • NPI 1942255591
  NPD (past)

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1720560949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 901",
            "city": "JEFFERSON",
            "state": "TX",
            "postal_code": "756570901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N WALNUT ST",
            "city": "JEFFERSON",
            "state": "TX",
            "postal_code": "756571934",
            "telephone_number": "903-665-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "LANA",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "719809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phynet, Inc
• Pine Hill Nursing and Rehabilitation LP
• Diana Poland
• Triquina Shaterra Polley
• Paulette Powell
• Molly Pylant, LVN
• Febriana Ramirez
• Restoring Health LLC
• Chequtia Evette Ricks
• Kimberly Michion Robinson Scott

• All providers in Jefferson, TX
• Home Health Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.