Lisha Runels

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

216880 Issued in TX

Practice address

607 S Emma St
Clarksville, TX 75426-3510

Phone

(903) 933-1089

NPI assigned

Feb 21, 2018

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1851891386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 S EMMA ST",
            "city": "CLARKSVILLE",
            "state": "TX",
            "postal_code": "754263510",
            "telephone_number": "903-933-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 S EMMA ST",
            "city": "CLARKSVILLE",
            "state": "TX",
            "postal_code": "754263510",
            "telephone_number": "903-933-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNELS",
        "first_name": "LISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "216880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacy M Raney
• Red River Emergency Medicine Associates PA
• Rivercrest I.S.D.
• Michael Leroy Roan, MA/CCC-SLP
• Rachel Annette Roberts, APRN, FNP-C
• Marilyn Jo Scott, COUNSELOR
• Walter Vincent Scott II, DDS
• Ashten Simington
• Ravi Kumar Sreerama, M.D.
• Amanda R Stanley, RN

• Licensed Vocational Nurse in Clarksville, TX
• Providers in Clarksville, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.