NPI age
9 years
Enumerated 2016-09-13
● Active
Type 1 · Individual
Lakiesha Bohannon, PA
Bohannon is 1 of 24 physician assistant providers in Richardson and 1 of 1890 in Texas.
Primary specialty
Physician Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-08-04
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1890 active physician assistant providers in Texas.
NPI age
9 years
↓ 2 yr below median (11 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
32% of peers hold subspecialties
NPI lifetime · 2016 → 2026
2016-09Enumerated in NPPES
2016
2026
Where they practice
Practice location
3600 Shire Blvd Ste 104
Richardson, TX 750822236
Mailing address
3600 Shire Blvd Ste 104
Richardson, TX 750822236
Specialties
-
Physician Assistant PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.