Sharett Medlock

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

317359 Issued in TX

Practice address

308 N Commerce St
Mart, TX 76664-1111

Phone

(254) 640-2752

NPI assigned

Jul 25, 2014

Last updated

Jul 25, 2014By the provider in NPPES

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

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406246400000",
    "number": "1982012688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 N COMMERCE ST",
            "city": "MART",
            "state": "TX",
            "postal_code": "766641111",
            "telephone_number": "254-640-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N COMMERCE ST",
            "city": "MART",
            "state": "TX",
            "postal_code": "766641111",
            "telephone_number": "254-640-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDLOCK",
        "first_name": "SHARETT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "317359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hollister's Assisted Living Home
• Home Sleep Specialists
• Lone Star Script Care LLC
• Mart Emergency Medical Services Inc. (Mart EMS Inc)
• Mart Isd
• Courtney Moltzer, M. ED., LPC, LCDC
• Haley Anne Pankonien, MS SLP-INTERN
• Sarada Devi Pokuri, PH.D.
• South Limestone Hospital District (Rucker Clinic A Limestone Medical Center Clinic)
• Eric Steinke

• Licensed Vocational Nurse in Mart, TX
• Providers in Mart, 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 Jul 25, 2014; 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.