Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Lisa L Shockley, MD

Anesthesiology Physician in Kingsport, TN · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720089873

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Registry record

Entity type Individual (Type 1)

Name Lisa L Shockley

Credential MD

Sex Female

Practice address 135 W Ravine Rd, Ste 5b, Kingsport, TN, 37660

Phone (423) 224-3460

Fax (423) 224-3465

Enumeration date Aug 10, 2005

Last updated in NPPES Jun 26, 2008

Taxonomy & licenses

207L00000X Anesthesiology Physician Allopathic & Osteopathic Physicians · License 22142 (TN) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
031807	Other	-	ANTHEM BCBS
5736099	Medicaid	VA	-
64911829	Medicaid	KY	-
3045909	Other	-	BLUE SHIELD OF TN
3066975	Medicaid	TN	-
00013859	Other	-	NHC CARE ADMINISTRATORS
100010226	Other	-	PHP TENNCARE
890575L	Medicaid	NC	-
050046532	Other	-	RAILROAD MEDICARE
TN0100	Other	-	JOHN DEERE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Lisa Shockley practice?

The practice location on file with NPPES is in Kingsport, TN. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Lisa Shockley?

The National Provider Identifier (NPI) for Lisa Shockley is 1720089873, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-26.