MRS. MICHELLE MOORE HAYNIE (NPI# 1730466053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730466053 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE MOORE HAYNIE |
| Credential | NNP |
| Practice Address |
1 Saint Mary Pl Shreveport LA 71101-4343 |
| Practice Telephone | 3186814500 |
| Mailing Telephone | 3186814500 |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2011-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
PA040129 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
AP06220 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379661 | Michelle Haynie | Technician | 3324 Pennsylvania Ave, Charleston, WV 25302 | 2020-09-04 |
| Street Address |
1 SAINT MARY PL |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447254198 | Walter E Bounds | Emergency Medicine | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2005-06-10 |
| 1083085005 | Valient Emergency Physicians, LLC | Physician Assistant | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2015-10-16 |
| 1356712509 | Sahara Emergency Physicians, LLC | Physician Assistant | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2015-10-14 |
| 1164807723 | Amy Hollis Norcross | Nurse Practitioner | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2015-07-24 |
| 1114270261 | Ghassan Fouad Hamdan | Pharmacist | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2012-10-25 |
| 1104142769 | Laura Christine Brooks | Nurse Practitioner | 1 Saint Mary Pl, Nicu, Shreveport, LA 71101-4343 | 2010-04-07 |
| 1154656494 | Paul Wesley Chism | Nurse Practitioner | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2009-10-05 |
| 1902030273 | Shannon Leonnie Youngblood | Nurse Anesthetist, Certified Registered | 1 Saint Mary Pl, Pfs-pro Billing, Shreveport, LA 71101-4343 | 2009-05-14 |
| 1467602755 | Childrens Acute Care Inc | Pediatrics | 1 Saint Mary Pl, Box 40, Shreveport, LA 71101-4343 | 2008-09-24 |
| 1265688667 | Louisiana Em-1 Medical Services, PC | Physician Assistant | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2008-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093349235 | Amanda Madden | Nurse Practitioner | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-02-26 |
| 1093087298 | Carmie Anita Beshea | Nurse Practitioner | 2600 Greenwood Rd, Shreveport, LA 71103-3908 | 2012-02-02 |
| 1104142769 | Laura Christine Brooks | Nurse Practitioner | 1 Saint Mary Pl, Nicu, Shreveport, LA 71101-4343 | 2010-04-07 |
| 1154656494 | Paul Wesley Chism | Nurse Practitioner | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2009-10-05 |
| 1609923655 | Carol Rachal | Nurse Practitioner | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2007-01-04 |
| 1104847920 | Marcella Coleman Williams | Nurse Practitioner | 1501 Kings Hwy, Department of Pediatrics, Shreveport, LA 71103-4228 | 2006-07-21 |
| 1013937994 | Barbara Lynn Bruner | Nurse Practitioner | 1501 Kings Hwy, Department of Pediatrics, Shreveport, LA 71103-4228 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427309400 | Jennifer Laviolette Vitellaro | Nurse Practitioner | 105 Fairfield Oaks Dr, Madisonville, LA 70447-9235 | 2012-10-01 |
| 1982961967 | Ashley L Bridges | Nurse Practitioner | 153 Ben Bridges Rd, Downsville, LA 71234-5439 | 2012-04-16 |
| 1366640666 | Kathlyn P Bell | Nurse Practitioner | 180 West Esplanade Ave, Kenner, LA 70065 | 2007-07-07 |
| 1134146921 | Sharon Wooten Sommerville | Nurse Practitioner | 1214 Quincy Dr, Bossier City, LA 71111-8197 | 2006-07-16 |
| 1194346916 | Lavonna Parham | Nurse Practitioner | 2700 Napoleon Ave, New Orleans, LA 70115-6914 | 2020-05-04 |
| 1457991671 | Courtney Price Mansour | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2020-01-15 |
| 1396382560 | Wilbur Eric Sharp | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-12-05 |
| 1891257515 | Ainsley L Manning | Nurse Practitioner | 309 Jackson St, Monroe, LA 71201-7407 | 2019-04-02 |
| 1558869925 | Shelley Maureen Clapp | Nurse Practitioner | 1401 Foucher St, Nicu, New Orleans, LA 70115 | 2018-01-31 |
| 1346755444 | Candace H Nichols | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2017-12-12 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on MRS. MICHELLE MOORE HAYNIE.
| 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.