SHIRLEY HAYNES (NPI# 1972042018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972042018 |
| Entity Type | Individual |
| Full Name | SHIRLEY HAYNES |
| Practice Address |
219 Sw Third Ave Madison FL 32340-2906 |
| Mailing Address |
401 Se Bunker St Apt A Madison FL 32340-2906 |
| Practice Telephone | 8509735000 |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN961621 | FL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225003551 | Shirley Lynn Haynes | Physician Assistant | 12647 Olive Blvd, Suite 600, Saint Louis, MO 63141-6345 | 2006-02-21 |
| Street Address |
219 SW THIRD AVE |
| City | MADISON |
| State | FL |
| Zip Code | 32340-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376016980 | Annie Laura Dyke | Registered Nurse | 213 Sw Third Ave, Madison, FL 32340 | 2019-01-07 |
| 1730698051 | Judith Khristian Sever-johnson | Registered Nurse | 218 Sw Third Avenue, Madison, FL 32340 | 2017-09-29 |
| 1265800437 | Maria Anchondo | Dentist | Ave. De La Raza #4722, Suite 3, Juarez, CHIHUAHUA 32340 | 2015-09-04 |
| 1508106063 | Family First Wellness Clinic, LLC | Family Medicine | 486 Sw Rutledge Street, Madison, FL 32340 | 2013-02-20 |
| 1306032073 | North Florida Pharmacy of Madison Inc. | Durable Medical Equipment & Medical Supplies | 139 Sw Macon St, Madison, FL 32340 | 2007-09-17 |
| 1295949444 | Roderick K Shaw IIi Dmd Pa | Dentist | 255 Ne Duval Ave, Madison, FL 32340 | 2007-05-09 |
| 1124159728 | Duramed Medical Services | Physiological Laboratory | 289 Sw Range Ave, Ste D, Madison, FL 32340 | 2007-03-08 |
| 1861595514 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 407 East Base St, Madison, FL 32340 | 2006-09-07 |
| 1194701862 | Mos LLC | Nurse Practitioner | 256 Sw Washington Ave, Madison, FL 32340 | 2005-12-15 |
| 1699248203 | Katelynn Mae Croft | Licensed Practical Nurse | 213 Sw Third Ave, Madison, FL 32340 | 2019-01-07 |
| Find all providers in zip 32340 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609484716 | Taneeka Barfield | Licensed Practical Nurse | 168 Ne Gibson Trailer Park Way Lot 10, Madison, FL 32340-2825 | 2020-07-15 |
| 1033751177 | Bionca Buie | Licensed Practical Nurse | 810 Jupiter Dr Apt 304, Madison, WI 53718-2991 | 2019-10-10 |
| 1689135469 | Geraldine Clemons-walker | Licensed Practical Nurse | 2461 Old Camden Sq Apt 104, Madison, WI 53718-8012 | 2019-03-26 |
| 1417449638 | Ashley Renee Zander | Licensed Practical Nurse | 1715 Camus Ln Apt 7, Madison, WI 53705-1204 | 2018-06-04 |
| 1184151466 | Debra Cooks Boatman | Licensed Practical Nurse | 1062 Ne Reagan Rd, Madison, FL 32340-5541 | 2017-05-17 |
| 1700329125 | Sheilakay Ann Jowett | Licensed Practical Nurse | 7530 Mid Town Rd Apt 108, Madison, WI 53719-3460 | 2016-12-02 |
| 1124570841 | Shirley Norman-johnson | Licensed Practical Nurse | 115 East Badger Rd, Suite A, Madison, WI 53713 | 2016-10-28 |
| 1114475225 | Jesse Willard | Licensed Practical Nurse | 1128 Morraine View Dr, Unit 301, Madison, WI 53719-3078 | 2016-09-18 |
| 1366809113 | Maria Joseph | Licensed Practical Nurse | 2925 Wimbledon Way, Madison, WI 53713-3427 | 2016-01-25 |
| 1831554021 | Gideon Kazah | Licensed Practical Nurse | 2488 Dahle Street, Madison, WI 53704 | 2015-12-15 |
| Find all providers in MADISON | ||||
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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.