MRS. SHANIKA LINETTE RICHARDSON CONYERS (NPI# 1467840272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467840272 |
Entity Type | Individual |
Full Name | MRS. SHANIKA LINETTE RICHARDSON CONYERS |
Credential | NP |
Practice Address |
351 S Liberty St Waynesboro GA 30830-9686 |
Mailing Address |
1120 15th St Ste Bi1056 Augusta GA 30912-0004 |
Practice Telephone | 7065542176 |
Mailing Telephone | 7065544435 |
Mailing Fax Number | 7064372680 |
Enumeration Date | 2014-12-31 |
Last Update Date | 2020-03-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN225002 | GA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
22222 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
351 S LIBERTY ST |
City | WAYNESBORO |
State | GA |
Zip Code | 30830-9686 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417932583 | Healthspan LLP | General Acute Care Hospital | 351 S Liberty St, Waynesboro, GA 30830-9686 | 2005-12-13 |
1144838574 | Burke County Hospital Authority | Pharmacy | 351 S Liberty St, Waynesboro, GA 30830-9686 | 2020-07-22 |
1740541929 | Burke County Hospital Authority | Medicare Defined Swing Bed Unit | 351 S Liberty St, Waynesboro, GA 30830-9686 | 2012-06-04 |
1053672527 | Burke County Hospital Authority | General Acute Care Hospital | 351 S Liberty St, Waynesboro, GA 30830 | 2012-05-31 |
1982984738 | Burke County Emergency Physicians LLC | Emergency Medicine | 351 S Liberty St, Waynesboro, GA 30830-9686 | 2011-08-25 |
1952637209 | Debra S Burch | Registered Nurse | 351 S Liberty St, Waynesboro, GA 30830-9686 | 2009-10-21 |
1700060522 | Jurea Juanita Jackson | Licensed Practical Nurse | 351 S Liberty St, Waynesboro, GA 30830-9686 | 2007-12-28 |
1376766832 | Lashawn Tanksley | Speech-Language Pathologist | 351 S Liberty St, Waynesboro, GA 30830-9686 | 2007-04-11 |
1003039660 | Susana Bustos | Occupational Therapist | 351 S Liberty St, Waynesboro, GA 30830-9686 | 2007-04-11 |
1336203264 | Samuel C. Nixon | Emergency Medicine | 351 S Liberty St, Waynesboro, GA 30830-9686 | 2006-12-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053935841 | Benjamin Wade Alverson | Dentist | 264 Hopkins Corner Dr. Suite D-8, Waynesboro, GA 30830 | 2020-06-08 |
1619524865 | Clark Drug Company, LLC. | Pharmacy | 206 W 6th Street, Waynesboro, GA 30830 | 2019-08-22 |
1508181405 | Walter R. Voyles | Surgery | 506 Burkeland Rd, Waynesboro, GA 30830 | 2010-04-02 |
1124264015 | Southern Health Solutions, LLC | Early Intervention Provider Agency | 6293c Highway 23 South, Waynesboro, GA 30830 | 2008-12-23 |
1184814519 | Bonnie P Jenkins Md PC | Family Medicine | 201 Dogwood Drive, Waynesboro, GA 30830 | 2007-08-01 |
1528113388 | Margaret Ann Mcgraw | Licensed Practical Nurse | 305 Park Dr, Waynesboro, GA 30830 | 2007-01-24 |
1780739599 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 305 Park Drive, Waynesboro, GA 30830 | 2007-01-24 |
1356496194 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 556 Hwy 25 South, Waynesboro, GA 30830 | 2007-01-24 |
1396890091 | Frances Gilbreth Brown | Counselor | 629 Shadrack Street, Waynesboro, GA 30830 | 2007-01-24 |
1316092000 | Connie Golding | Counselor | 727 W. Sixth Street, Waynesboro, GA 30830 | 2007-01-24 |
Find all providers in zip 30830 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053680405 | Karen Elaine Burke | Nurse Practitioner | 305 Jones Ave, Waynesboro, GA 30830-1510 | 2011-12-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477154110 | Christina Danielle Palau Vaccari | Nurse Practitioner | 712 Pasley Ave Se, Atlanta, GA 30316-2158 | 2020-11-07 |
1427657113 | Cynthia Diane Prather | Nurse Practitioner | 3264 Lower Boston Rd, Thomasville, GA 31757-1311 | 2020-10-22 |
1932706728 | Alecia Ann Czarnecki | Nurse Practitioner | 6240 Crooked Creek Dr, Rex, GA 30273-5006 | 2020-10-05 |
1801401112 | Cotenna D. Clark | Nurse Practitioner | 1857 Cameo Ct, Tucker, GA 30084-7002 | 2020-09-14 |
1487264370 | Helen Young Yates | Nurse Practitioner | 40 Red Rock Ct Ne, Ludowici, GA 31316-6280 | 2020-08-05 |
1982214334 | Jasmine Alecia Henderson | Nurse Practitioner | 52 Roseberry Cir, Port Wentworth, GA 31407-5612 | 2020-07-31 |
1275142994 | Theresia Richardson | Nurse Practitioner | 2033 Buford Hwy Ste 109, Buford, GA 30518-8802 | 2020-07-28 |
1063021277 | Elsa Duncan Duncan | Nurse Practitioner | 1822 E Gwinnett St, Savannah, GA 31404-1853 | 2020-07-24 |
1154941946 | Joy P Wharton | Nurse Practitioner | 182 Silver Arrow Cir, Austell, GA 30168-7490 | 2020-04-21 |
1235769985 | Michelle Brack | Nurse Practitioner | 502 Hall Rd, Thomasville, GA 31757-8105 | 2020-01-22 |
Find all providers with the same taxonomy |
City | WAYNESBORO |
Zip Code | 30830 |
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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.