LATASHA DINYEL SHAVERS (NPI# 1952808628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952808628 |
| Entity Type | Individual |
| Full Name | LATASHA DINYEL SHAVERS |
| Credential | APRN, FNP-C |
| Practice Address |
4502 Hwy 951 Jackson LA 70748 |
| Practice Telephone | 2256340100 |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP09535 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4502 HWY 951 |
| City | JACKSON |
| State | LA |
| Zip Code | 70748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952453854 | Marcelita A Bermudez | Psychiatry & Neurology | 4502 Hwy 951, Jackson, LA 70748 | 2007-01-18 |
| 1164738035 | Elmhs Outpatient Pharmacy | Pharmacy | 4502 Hwy 951, Building 200 North, Jackson, LA 70748-0498 | 2010-08-30 |
| 1962627364 | Eastern La. Mental Health System | Psychiatric Hospital | 4502 Hwy 951, Jackson, LA 70748 | 2007-04-13 |
| 1881747475 | Julia Smith Boudreaux | Social Worker | 4502 Hwy 951, Jackson, LA 70748 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114380979 | Natashia Folse | Counselor | 3365 Market St., Jackson, LA 70748 | 2016-03-30 |
| 1457674368 | Charles Harold Martin | Social Worker | 4739 Hwy 10, Jackson, LA 70748 | 2010-03-05 |
| 1497966576 | Dahn Savell | Social Worker | 4502 Hwy. 10, Jackson, LA 70748 | 2007-05-24 |
| 1174732333 | Louisiana War Veterans Home | Skilled Nursing Facility | 4739 Highway 10, Jackson, LA 70748 | 2007-05-22 |
| 1043337538 | Gregory J Dolese | Pharmacist | 4052 Hwy 951, 200 Building, Jackson, LA 70748 | 2007-03-22 |
| 1609914902 | Waylon Morris Parker | Pediatrics | 5002 Highway 10, Villa Feliciana Medical Complex, Jackson, LA 70748 | 2007-02-01 |
| 1639228174 | Villa Feliciana Medical Complex | Long Term Care Hospital | 5002 Hwy 10, Jackson, LA 70748 | 2007-01-10 |
| 1457420879 | Feliciana Consultants, Inc. | Home Health | 3613 College Street, Jackson, LA 70748 | 2006-11-07 |
| 1073539300 | Patrick G Mccrossen | Dentist | 4502 Louisiana Hwy 951, Jackson, LA 70748 | 2006-07-13 |
| 1922205855 | Rhonda B Coleman | Pharmacist | 4052 Hwy 951, Jackson, LA 70748 | 2007-07-03 |
| Find all providers in zip 70748 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113627 | Jessicah Blasdel | Nurse Practitioner | 113 W Michigan Ave, Jackson, MI 49201-1340 | 2020-10-31 |
| 1801406335 | Jade Russell | Nurse Practitioner | 2205 W Morrell St, Jackson, MI 49203-1357 | 2020-08-10 |
| 1992315212 | Patrecia Campbell | Nurse Practitioner | 2570 Bailey Ave Ste 7, Jackson, MS 39213-6905 | 2020-08-01 |
| 1669008926 | Kristine Edwards | Nurse Practitioner | 723 Woodlawn Ave, Jackson, MI 49203-2921 | 2020-03-19 |
| 1295366391 | Christy White | Nurse Practitioner | 363 Old Pinson Rd, Jackson, TN 38301-9576 | 2020-01-28 |
| 1972141620 | Primary Care - Bemis, LLC | Nurse Practitioner | 1385 S Highland Ave Ste B4, Jackson, TN 38301-7547 | 2019-12-12 |
| 1174164263 | Tami Anne Miller | Nurse Practitioner | 124 N Bast St, Jackson, MO 63755-1704 | 2019-10-01 |
| 1265080584 | Cameron Nicole Howard | Nurse Practitioner | 1860 Chadwick Dr Ste 256, Jackson, MS 39204-3486 | 2019-08-29 |
| 1831750843 | Rhiannon Michelle Andresen | Nurse Practitioner | 1022 Greystone Sq, Jackson, TN 38305-3580 | 2019-06-21 |
| 1902376361 | Jenay B Krumm | Nurse Practitioner | 1201 E Michigan Ave Ste 200, Jackson, MI 49201-1855 | 2018-11-28 |
| Find all providers in JACKSON | ||||
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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.