SHENNA MICHELLE CLYBURN (NPI# 1871190157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871190157 |
| Entity Type | Individual |
| Full Name | SHENNA MICHELLE CLYBURN |
| Practice Address |
3112 Delaware Ave Fort Pierce FL 34947-3531 |
| Practice Telephone | 7726660672 |
| Mailing Telephone | 7726660672 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
FL | Ambulatory Health Care Facilities |
| Street Address |
3112 DELAWARE AVE |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34947-3531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982174215 | Jennifer Denise Williams | Home Health Aide | 1301 South 33rd Street, Fort Pierce, FL 34947 | 2018-11-29 |
| 1811391345 | Shaikh International Medicine, LLC | Internal Medicine | 2504 Acorn St, Suite A, Ft Pierce, FL 34947 | 2014-10-13 |
| 1851728083 | Home Sweet Home of The Treasurwe Coast, Inc. | Assisted Living Facility | 3201 Avenue Q, Fort Pierce, FL 34947 | 2013-10-02 |
| 1831488469 | Gayle Freeman Jones | In Home Supportive Care | 3414 Sloan Rd, Fort Pierce, FL 34947 | 2011-04-05 |
| 1134370927 | Chelsea Lauren Pepera | Licensed Practical Nurse | 1816 South 31st Street, Fort Pierce, FL 34947 | 2008-10-10 |
| 1790971364 | Orion Cardiovascular, IIi | Clinic/Center | 1803 S 25th Street, Ste 1, Ft. Pierce, FL 34947 | 2007-09-18 |
| 1659441236 | Diagnostic Radiology Center of The Treasure Coast | Radiology | 2011 South 25th St, Suite 106, Ft Pierce, FL 34947 | 2006-11-09 |
| 1538245758 | Oswaldo Daniel Benitez Sr. | Family Medicine | 408 South 25th Street, Fort Pierce, FL 34947 | 2006-10-31 |
| 1689786774 | Ajay Kumar Goyal | Radiology | 2011 S 25th St, Suite 106, Fort Pierce, FL 34947 | 2006-08-31 |
| 1649340258 | Ajay K Goyal Md Pa | Radiology | 2011 South 25th St, Suite 106, Ft Pierce, FL 34947 | 2006-11-09 |
| Find all providers in zip 34947 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548019 | Renacer Adult Day Care LLC | Clinic/Center | 1968 Nw 7th St, Miami, FL 33125-3411 | 2020-11-08 |
| 1972104164 | El Prado Senior Club Corp | Clinic/Center | 1800 W 68th St Ste 101-105, Hialeah, FL 33014-4404 | 2020-11-04 |
| 1679174924 | Divine Leisure & Activity Center,llc | Clinic/Center | 6500 W 4th Ave Ste 26, Hialeah, FL 33012-6606 | 2020-11-03 |
| 1659972917 | Hope Family Adult Day Care Center LLC | Clinic/Center | 204 E Mckenzie St Unit A, Punta Gorda, FL 33950-6069 | 2020-11-03 |
| 1487254157 | Universal Adult Day Care Inc | Clinic/Center | 10174 W Flagler St, Miami, FL 33174-1830 | 2020-10-30 |
| 1801496583 | Penate Adult Daycare 3 LLC | Clinic/Center | 18950 Sw 106th Ave Ste 115, Cutler Bay, FL 33157-7699 | 2020-10-30 |
| 1568061885 | All Smiles Senior & Adult Day Care Center | Clinic/Center | 1072 E Venice Ave, Venice, FL 34285-7162 | 2020-10-19 |
| 1679171326 | Constance Pierre Louis Gauthier | Clinic/Center | 812 Dogwood Rd, West Palm Beach, FL 33409-6141 | 2020-10-14 |
| 1669079323 | Hemo Medika Care LLC | Clinic/Center | 3425 10th St N Ste 1, Naples, FL 34103-3866 | 2020-10-06 |
| 1861008286 | Tamarac Senior Center Inc | Clinic/Center | 6570 N University Dr, Tamarac, FL 33321-4001 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
| City | FORT PIERCE |
| Zip Code | 34947 |
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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.