Alexis Shavone Lumpkin, NURSE

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

323078 Issued in IL

Practice address

9017 Melvina Ave
Oak Lawn, IL 60453-1550

Phone

(312) 720-9275

NPI assigned

Sep 14, 2022

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

Locations

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.

• Southern Comfort Home Health Agency

  • Home Health Agency
  • Flowood, MS
  • NPI 1255053435
  NPD Authorized official

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1922720101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9017 MELVINA AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531550",
            "telephone_number": "312-720-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9017 MELVINA AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531550",
            "telephone_number": "312-720-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMPKIN",
        "first_name": "ALEXIS",
        "middle_name": "SHAVONE",
        "credential": "NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "323078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari S Ludwig, MD
• Wayne Lue, MD
• Patricia E Lugowski, OT
• Alan Luke, MD
• Mary Ann Lukin, LAC
• Lumy Dental Inc.
• Cara Lundy, MS, RDN, LDN
• Julie Lundy, ST
• Susan Thayer Lyon, M.D.
• Di Ma, M.D.

• Licensed Practical Nurse in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Licensed Practical Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.