RENEE MARIE SHAIDE (NPI# 1598230195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598230195 |
Entity Type | Individual |
Full Name | RENEE MARIE SHAIDE |
Credential | APRN |
Practice Address |
106 Highway 62 W Salem AR 72576-8059 |
Mailing Address |
101 W Main St Hardy AR 72542-9566 |
Practice Telephone | 8708952015 |
Practice Fax Number | 8708952164 |
Mailing Telephone | 5737182570 |
Mailing Fax Number | 8708562133 |
Enumeration Date | 2018-10-10 |
Last Update Date | 2019-01-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
R089200 | AR | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A005644 | AR | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | CERTIFIED NURSE PRACTITIONER | A005644 | 01 |
AR | REGISTERED NURSE | R089200 | 01 |
Street Address |
106 HIGHWAY 62 W |
City | SALEM |
State | AR |
Zip Code | 72576-8059 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245454172 | Baker & Baker Inc | Durable Medical Equipment & Medical Supplies | 106 Highway 62 W, Salem, AR 72576-0247 | 2007-04-12 |
1720617954 | Brandi Lee Jones | Nurse Practitioner | 106 Highway 62 W, Salem, AR 72576-8059 | 2020-04-08 |
1124657713 | Access Medical Clinic Arkansas LLC | Family Medicine | 106 Highway 62 W, Salem, AR 72576-8059 | 2020-04-06 |
1932737228 | Katie Amber Webb | Nurse Practitioner | 106 Highway 62 W, Salem, AR 72576-8059 | 2020-03-31 |
1285274605 | Lauren Joy Brown | Physician Assistant | 106 Highway 62 W, Salem, AR 72576-8059 | 2020-01-14 |
1649816794 | Magan Nichole Hayes | Nurse Practitioner | 106 Highway 62 W, Salem, AR 72576-8059 | 2019-11-25 |
1932743887 | Dillon Clifford Louton | Nurse Practitioner | 106 Highway 62 W, Salem, AR 72576-8059 | 2019-11-04 |
1336780279 | Leslie A Foster | Nurse Practitioner | 106 Highway 62 W, Salem, AR 72576-8059 | 2019-10-02 |
1104478585 | Ellen Weseli Ward | Nurse Practitioner | 106 Highway 62 W, Salem, AR 72576-8059 | 2019-07-15 |
1891357679 | Elisabeth Mathews | Pharmacist | 106 Highway 62 W, Salem, AR 72576-8059 | 2019-07-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205476322 | Spring River Therapy | Occupational Therapy Assistant | 1323 Hwy 9 N, Salem, AR 72576 | 2020-01-07 |
1326691213 | Tiffany Jean Reed | Occupational Therapy Assistant | 115 Watters Street, Salem, AR 72576 | 2019-07-19 |
1821564436 | Bokker Enterprises, Inc. | Community/Behavioral Health | 115 Turner Lane, Ste #2, Salem, AR 72576 | 2018-10-22 |
1346790649 | Rebekah Alexander | Social Worker | 684 Highway 62 412, Salem, AR 72576 | 2016-10-11 |
1407209075 | Mirenda Martin | Clinical Nurse Specialist | 507 N Main Street, Salem Family Clinic 507 N Main Street, Salem, AR 72576 | 2016-07-19 |
1982004362 | Alternative Oppurtunities | Community/Behavioral Health | 684 Sky Vu Shopping Center, Highway 412 West, Salem, AR 72576 | 2014-09-04 |
1144465485 | Jennifer Renee Innis | Physical Therapy Assistant | 679 North Main Street, Salem, AR 72576 | 2008-12-15 |
1922261890 | Fulton County Hospital | Clinic/Center | 673 North Main St, Salem, AR 72576 | 2008-07-09 |
1659573327 | Barbara Scott | Nurse Practitioner | 172 Highway 62 East, Salem, AR 72576 | 2007-06-04 |
1609995653 | Watch Care, LLC | Hospice Care, Community Based | 106 West Locust, Salem, AR 72576 | 2007-03-29 |
Find all providers in zip 72576 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285247908 | Tracy Jean Payton | Nurse Practitioner | 3898 Lee Road 250, Salem, AL 36874-1450 | 2020-08-24 |
1437775137 | Krista Michelle Brinkerhoff | Nurse Practitioner | 636 N 220 E, Salem, UT 84653-5553 | 2020-06-18 |
1851913271 | Rossiel Pita-roman | Nurse Practitioner | 25 Oak Ridge Ave Apt 10, Salem, NH 03079-4480 | 2020-05-07 |
1487292157 | Kelly Daily Morris | Nurse Practitioner | 5915 Port Stewart Ct Se, Salem, OR 97306-9034 | 2019-12-12 |
1174087985 | Brenda Gott | Nurse Practitioner | 3103 Hh Highway, Salem, MO 65560 | 2019-01-25 |
1992277594 | Shelisa Rena Taylor | Nurse Practitioner | 1126 Lee Road 250, Salem, AL 36874-1373 | 2018-12-19 |
1811472426 | Kathryn B Powell | Nurse Practitioner | 400 Highland Ave Ste 1, Salem, MA 01970-1783 | 2018-09-28 |
1609367077 | Jennifer Turner | Nurse Practitioner | 225 Sunbridge Drive, Salem, WV 26426 | 2018-05-22 |
1174042535 | Elizabeth Keane | Nurse Practitioner | 9 Riverbank Rd, Salem, MA 01970-5311 | 2017-09-15 |
1346766292 | Scott Adam Pasquale | Nurse Practitioner | 331r Highland Ave, Salem, MA 01970-1738 | 2017-08-22 |
Find all providers in SALEM |
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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.