Active NPI
Shamonica Scruggs, LPC, LVN
- Prosthetic/Orthotic Supplier
- Lufkin, TX
National Provider Identifier
1972317683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Practice address
- 1105 Kurth Dr
Lufkin, TX 75904-1945 - Phone
- (936) 632-2450
- NPI assigned
- Feb 3, 2025
- Last updated
- Feb 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | TX | ||
| Prosthetic/Orthotic Supplier | 335E00000X | TX | Primary |
Addresses
Primary practice location
1105 Kurth Dr
Lufkin, TX 75904-1945
Mailing address
905 Lindsey LN
Lufkin, TX 75904-5675
Phone (318) 461-9972
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ccmedicalwigs@gmail.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1972317683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 LINDSEY LN",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759045675",
"telephone_number": "318-461-9972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 KURTH DR",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759041945",
"telephone_number": "936-632-2450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCRUGGS",
"first_name": "SHAMONICA",
"credential": "LPC, LVN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-03",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ccmedicalwigs@gmail.com",
"affiliation": "N",
"endpointDescription": "Medical Wigs",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1105 Kurth Dr",
"city": "Lufkin",
"state": "TX",
"country_code": "US",
"postal_code": "759041945",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.