RENEE MARIE SHAIDE


Address: 106 Highway 62 W, Salem, AR 72576-8059
Phone: 8708952015

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
AR CERTIFIED NURSE PRACTITIONER A005644 01
AR REGISTERED NURSE R089200 01

Office Location

Street Address 106 HIGHWAY 62 W
City SALEM
State AR
Zip Code 72576-8059

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City SALEM
Zip Code 72576

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Dataset Information

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.

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