1992213862 NPI number — CHERRY ANN PUNTANAR LAMPKIN

Table of content: CHERRY ANN PUNTANAR LAMPKIN (NPI 1992213862)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992213862 NPI number — CHERRY ANN PUNTANAR LAMPKIN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LAMPKIN
Provider First Name:
CHERRY ANN
Provider Middle Name:
PUNTANAR
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SKELDON
Provider Other First Name:
CHERRY ANN
Provider Other Middle Name:
PUNTANAR
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
BCBA
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1992213862
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/27/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2800 N HWY 75
Provider Second Line Business Mailing Address:
SUITE 125
Provider Business Mailing Address City Name:
SHERMAN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75090
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
903-328-2025
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2800 N HWY 75 SUITE 125
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SHERMAN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75090
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
903-328-2025
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/12/2018

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 106E00000X , with the licence number: A1276 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 106S00000X , with the licence number: RBT-18-47579 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)