Lizette Shanta Baskerville

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

120 E Belle St
Henderson, NC 27536-4502

Phone

(252) 573-2933

Fax

(252) 572-4745

NPI assigned

Jun 6, 2022

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 6, 2022.

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1801525951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 SPRING HILL LN",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275377238",
            "telephone_number": "252-767-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E BELLE ST",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364502",
            "telephone_number": "252-573-2933",
            "fax_number": "252-572-4745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Spring Hill Ln",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NC",
            "postal_code": "275377238",
            "country_code": "US",
            "telephone_number": "252-767-6960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASKERVILLE",
        "first_name": "LIZETTE",
        "middle_name": "SHANTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Vernell Ball, M. ED
• Danielle Ballard, DO
• Brittany Renee' Barber, PHD
• Albert Bart-Plange
• Alison Dawn Bartel, MD
• Ashley Bavar
• Emily Blackman Beasley, PTA
• Nicole Saint Simone Beaufort, M.D.
• John Beck, ACSW, LCSW
• Beckford Avenue Medical Center PA

• All providers in Henderson, NC
• Behavior Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.