LISA SHAMBLIN
NPI 1225634736
Registered Nurse in Charleston, WV

Q: What is Lisa Shamblin's NPI number?

The NPI number for Lisa Shamblin is 1225634736. It was assigned to this individual provider in the NPPES registry on December 9, 2020.

Q: What is Lisa Shamblin's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Shamblin was last updated on December 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 09, 2020

4510 PENNSYLVANIA AVE, CHARLESTON, WV 25302(304) 965-9081(304) 471-2488 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lisa Shamblin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA SHAMBLIN (NPI 1225634736) is an individual registered nurse in Charleston, West Virginia, licensed in West Virginia (30302) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1225634736

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameLISA SHAMBLIN

Location Address4510 PENNSYLVANIA AVECharleston, WV 25302-4835

Mailing Address11517 Elk River Rd NClendenin, WV 25045-6206 · (304) 389-9400 · Fax (304) 471-2488

Phone(304) 965-9081

Fax(304) 471-2488

Sole ProprietorNo

Enumeration DateDecember 9, 2020

NPPES CertifiedDecember 9, 2020

✔ NPI 1225634736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in WV · 30302

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

4510 PENNSYLVANIA AVE, Charleston, WV 25302

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