HALEY NICOLE SHRELL (NPI# 1669020012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669020012 |
| Entity Type | Individual |
| Full Name | HALEY NICOLE SHRELL |
| Credential | RD |
| Practice Address |
1600 W 40th Ave Pine Bluff AR 71603-6301 |
| Practice Telephone | 8705417795 |
| Practice Fax Number | 8705417933 |
| Mailing Telephone | 8705417795 |
| Mailing Fax Number | 8705417933 |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1904 | AR | Dietary & Nutritional Service Providers |
| Street Address |
1600 W 40TH AVE |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71603-6301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033172317 | Rebekah A Crowder | Dietitian, Registered | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2006-04-08 |
| 1164044509 | Shelly R Caine | Registered Nurse | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2020-05-08 |
| 1447870415 | Lakita Davis | Nurse Practitioner | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2020-04-20 |
| 1730739715 | Robert Benjamin Noble | Physician Assistant | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2019-09-12 |
| 1932757382 | Sarah Victoria Brown | Dietitian, Registered | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2019-08-29 |
| 1467000810 | Michael Carlton Turley | Dietitian, Registered | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2019-08-29 |
| 1639727084 | Laura Elizabeth Drinkwater | Dietitian, Registered | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2019-08-29 |
| 1316501901 | April Summer Mcghee | Nurse Practitioner | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2019-04-29 |
| 1609339365 | Andy Diaz | Physical Therapy Assistant | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2019-04-10 |
| 1205301587 | Jefferson Regional Anesthesia LLC | Anesthesiology | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2018-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445038 | Hannah Carter | Dentist | 3801 S Olive St, Pine Bluff, AR 71603 | 2019-06-11 |
| 1821544628 | Nauman Yunus Md Pa | Internal Medicine | 1600 West 40th Ave, Jefferson Regional Medical Center, Pine Bluff, AR 71603 | 2016-08-31 |
| 1407278120 | Arkansas Cancer Clinic Pa | Radiology | 7200 South Hazel Street, Pine Bluff, AR 71603 | 2014-01-15 |
| 1730515396 | Sharon Yvette Webb | Student in an Organized Health Care Education/Training Program | 2318 Kyle Street, Pine Bluff, AR 71603 | 2013-09-16 |
| 1477992733 | David Larry Byrd | Pharmacist | 5 Longmeadow, Pine Bluff, AR 71603 | 2013-06-20 |
| 1437400371 | Thomas Jordan Harper | Pharmacist | 2809 South Camden Road, Pine Bluff, AR 71603 | 2012-10-01 |
| 1992080469 | C&d Disability.inc | Early Intervention Provider Agency | 4806 W 9th Street, Pine Bluff, AR 71603 | 2011-10-17 |
| 1457645863 | Clifton G Roaf & Marvin Q Caudle | Dentist | 1310 South Linden Street, Pine Bluff, AR 71603 | 2011-06-02 |
| 1932402682 | Mary Campbell | Licensed Practical Nurse | 2302 W. 28th, Suite A, Pine Bluff, AR 71603 | 2010-12-17 |
| 1245468925 | Evan N Newbolt | Ophthalmology | 3805 West 28th Ave, Pine Bluff, AR 71603 | 2009-07-01 |
| Find all providers in zip 71603 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306328554 | Rebecca L Powell | Dietitian, Registered | 7823 S Pinewood Dr, Pine Bluff, AR 71603-8997 | 2018-09-04 |
| 1750645487 | Debra C Goldmon | Dietitian, Registered | 420 Sandy Bayou Ln, Pine Bluff, AR 71603-6555 | 2012-06-27 |
| 1699979856 | Lori Maddox | Dietitian, Registered | 2101 W 42nd Ave, Pine Bluff, AR 71603-6919 | 2007-06-12 |
| 1033172317 | Rebekah A Crowder | Dietitian, Registered | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2006-04-08 |
| 1932757382 | Sarah Victoria Brown | Dietitian, Registered | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2019-08-29 |
| 1467000810 | Michael Carlton Turley | Dietitian, Registered | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2019-08-29 |
| 1639727084 | Laura Elizabeth Drinkwater | Dietitian, Registered | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 2019-08-29 |
| 1891248704 | Brooke Dianna Grubb | Dietitian, Registered | 1101 S Tennessee St, Pine Bluff, AR 71601-5801 | 2016-07-27 |
| 1851664452 | Allison Faye Francis | Dietitian, Registered | 1600 W 40th Ave, Nutritional Services, Pine Bluff, AR 71603-6301 | 2012-02-14 |
| 1942573548 | Amy S Morris | Dietitian, Registered | 1600 W 40th Ave, Nutritional Service, Pine Bluff, AR 71603-6301 | 2012-02-14 |
| Find all providers in PINE BLUFF | ||||
| City | PINE BLUFF |
| Zip Code | 71603 |
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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.