MRS. KRISTI LYNN SHAFER (NPI# 1336352327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336352327 |
| Entity Type | Individual |
| Full Name | MRS. KRISTI LYNN SHAFER |
| Credential | MS, WHNP-BC |
| Practice Address |
1008 N 3rd Ave Chatsworth GA 30705-2118 |
| Mailing Address |
165 Blue Ridge Overlook Blue Ridge GA 30513-4431 |
| Practice Telephone | 7065172273 |
| Practice Fax Number | 7065172469 |
| Mailing Telephone | 7069465600 |
| Mailing Fax Number | 7063747628 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2017-05-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
RN137113 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
9200776 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FACILITY MEDICARE PTAN | 111930 | 01 | |
| GA | 003135255A | 05 | |
| GA | MEDICARE PTAN | 202I501044 | 01 |
| MEDICARE GROUP PTAN | GRP 1855 | 01 |
| Street Address |
1008 N 3RD AVE |
| City | CHATSWORTH |
| State | GA |
| Zip Code | 30705-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801883384 | Dominique C Bailey | Pediatrics | 1008 N 3rd Ave, Chatsworth, GA 30705-2118 | 2005-09-30 |
| 1144834789 | Laura Huber Nix | Nurse Practitioner | 1008 N 3rd Ave, Chatsworth, GA 30705-2118 | 2020-09-01 |
| 1891279063 | Elizabeth E Thompson | Nurse Practitioner | 1008 N 3rd Ave, Chatsworth, GA 30705-2118 | 2018-09-24 |
| 1598018012 | Aimee Ballew Satterfield | Nurse Practitioner | 1008 N 3rd Ave, Chatsworth, GA 30705-2118 | 2012-10-22 |
| 1841549540 | Dixie Lynn Carter | Social Worker | 1008 N 3rd Ave, Chatsworth, GA 30705-2118 | 2012-09-10 |
| 1518144732 | Randall K. Stinson | Physician Assistant | 1008 N 3rd Ave, Chatsworth, GA 30705-2118 | 2008-01-30 |
| 1144419813 | Georgia Mountains Health Services, Inc | Clinic/Center | 1008 N 3rd Ave, Chatsworth, GA 30705-2118 | 2007-10-18 |
| 1134342660 | Brenda Cheryl Dukas | Nurse Practitioner | 1008 N 3rd Ave, Chatsworth, GA 30705-2118 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821582784 | Kayla Michelle Khan | Dentist | 221 N. 4th Avenue, Chatsworth, GA 30705 | 2018-06-14 |
| 1578079869 | Professional Eye Associates, Inc. | Eyewear Supplier (Equipment, not the service) | 113 West Pine Street, Chatsworth, GA 30705 | 2017-12-21 |
| 1518472778 | Rebecca Annette Lunsford | Case Manager/Care Coordinator | 165 Freedom Way, Chatsworth, GA 30705 | 2017-12-11 |
| 1306214630 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 502 Gi Maddox Parkway, Chatsworth, GA 30705 | 2015-09-03 |
| 1003231416 | Jessica Sanders | Nurse Practitioner | 800 Gi Maddox Pwky, Chatsworth, GA 30705 | 2014-02-20 |
| 1063731560 | Travis Mckie-voerste | Counselor | 96 Terrace Ct, Chatsworth, GA 30705 | 2010-05-24 |
| 1609962521 | Charlie Weichen Fang | Emergency Medicine | 707 Old Ellijay Road, Chatsworth, GA 30705 | 2006-10-05 |
| 1619941689 | Murray County Board of Health | Public Health or Welfare | 709 Dalton-ellijay Highway, Chatsworth, GA 30705 | 2006-02-15 |
| 1780671974 | Trom Enterprises, Inc. | Pharmacy | 101 Murray Plaza, Chatsworth, GA 30705 | 2005-10-03 |
| 1518953785 | Yara Fattouh | Family Medicine | 1111 Hwy 76, Chatsworth, GA 30705 | 2005-09-23 |
| Find all providers in zip 30705 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689730541 | Diane Bryson Combe | Nurse Practitioner | 709 Old Dalton Ellijay Rd, Chatsworth, GA 30705-2019 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368328 | Jennifer Cobb | Nurse Practitioner | 130 Champlain St, Decatur, GA 30030-1803 | 2020-08-29 |
| 1336766476 | Nadine L Donahue | Nurse Practitioner | 1703 Oglethorpe Dr Ne, Brookhaven, GA 30319-2791 | 2020-07-05 |
| 1003465337 | Kaitlin Wilson | Nurse Practitioner | 5195 Jimmy Carter Blvd, Norcross, GA 30093-1649 | 2019-09-09 |
| 1912555939 | Erika Parks | Nurse Practitioner | 81 Upper Riverdale Rd Sw Ste 210, Riverdale, GA 30274-2627 | 2019-09-03 |
| 1427600469 | Kytrena L Harris | Nurse Practitioner | 232 Seaton Ave, Grovetown, GA 30813-4259 | 2019-07-10 |
| 1720640162 | Sonya Coutee Wallace | Nurse Practitioner | 3200 Highlands Pkwy Se Ste 420, Smyrna, GA 30082-5192 | 2019-07-06 |
| 1134783152 | Julia Coleman Quinn | Nurse Practitioner | 220 Cobb Pkwy N Ste 500, Marietta, GA 30062-3580 | 2019-04-24 |
| 1144782749 | Keely Darnell | Nurse Practitioner | 133 Samaritan Dr Ste 306, Cumming, GA 30040-2396 | 2019-04-02 |
| 1578020103 | Stacey Leigh Newpher | Nurse Practitioner | 960 Johnson Fy Rd Ne Ste 130, Atlanta, GA 30342-1601 | 2019-03-01 |
| 1144702226 | Veneah Shante Hall | Nurse Practitioner | 440 Moreland Ave Se, Atlanta, GA 30316-1926 | 2018-09-05 |
| Find all providers with the same taxonomy | ||||
| City | CHATSWORTH |
| Zip Code | 30705 |
Please comment or provide details below to improve the information on MRS. KRISTI LYNN SHAFER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.