SHANA KAY CALDWELL (NPI# 1336200682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336200682 |
| Entity Type | Individual |
| Full Name | SHANA KAY CALDWELL |
| Credential | RN, MSN, CPNP |
| Practice Address |
305 W Rusk St Tyler TX 75701-1514 |
| Mailing Address |
Po Box 846098 Dallas TX 75284-6098 |
| Practice Telephone | 9035927304 |
| Practice Fax Number | 9035921288 |
| Mailing Telephone | 9033246450 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2015-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
687871 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 186970302 | 05 | |
| TX | 186970303 | 05 |
| Street Address |
305 W RUSK ST |
| City | TYLER |
| State | TX |
| Zip Code | 75701-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356316681 | Jennifer A Steeger | Pediatrics | 305 W Rusk St, Tyler, TX 75701-1514 | 2006-02-21 |
| 1699094060 | Mary Katherine Hawkins | Pediatrics | 305 W Rusk St, Tyler, TX 75701-1514 | 2010-05-25 |
| 1053530386 | Krystal Castle | Pediatrics | 305 W Rusk St, Tyler, TX 75701-1514 | 2007-04-25 |
| 1568437861 | William H Starling | Pediatrics | 305 W Rusk St, Tyler, TX 75701-1514 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114914132 | Holly Walker Patterson | Nurse Practitioner | 706 Turtle Creek Dr, Tyler, TX 75701-1833 | 2005-10-04 |
| 1346739778 | Rita Ekpen Ozomah | Nurse Practitioner | 2990 N Broadway Ave, Tyler, TX 75702-2149 | 2018-05-01 |
| 1548663784 | Lamesa Bell | Nurse Practitioner | 2990 N Broadway Ave, Tyler, TX 75702-2149 | 2014-10-02 |
| 1316268931 | Julie Ann Aucar | Nurse Practitioner | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2010-06-17 |
| 1952439432 | Tamara Jones | Nurse Practitioner | 2990 N Broadway Ave, Tyler, TX 75702-2149 | 2007-02-28 |
| 1538241419 | Patricia D Drago | Nurse Practitioner | 2990 N Broadway Ave, Tyler, TX 75702-2149 | 2006-10-19 |
| 1255413134 | Brenda Morgan-webber | Nurse Practitioner | 214 E Houston St, Tyler, TX 75702-8131 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629308 | Megan Marie Burson | Nurse Practitioner | 9002 Culebra Rd Unit 100, San Antonio, TX 78251-2873 | 2020-11-04 |
| 1275134355 | Trevor Hill | Nurse Practitioner | 19708 Northwest Fwy Ste 500, Jersey Village, TX 77065-5626 | 2020-11-04 |
| 1346849817 | Abbie Leigh Collins | Nurse Practitioner | 4499 Medical Dr Ste 289, San Antonio, TX 78229-3712 | 2020-10-25 |
| 1770182636 | Jenna Donlon | Nurse Practitioner | 3201 Western Center Blvd Ste 125, Fort Worth, TX 76137-7135 | 2020-10-21 |
| 1356949697 | Elizabeth Danielle Harrington | Nurse Practitioner | 213 Woodbine Dr, Burleson, TX 76028-6175 | 2020-10-09 |
| 1780291229 | Alexandra Messer | Nurse Practitioner | 6435 S Farm To Market, #201, Heath, TX 75032 | 2020-09-29 |
| 1679189567 | Jessica Dawn Crow | Nurse Practitioner | 801 Nuthatch Ct, Northlake, TX 76226-2863 | 2020-09-16 |
| 1457965436 | Jeanan Alameddine | Nurse Practitioner | 823 Catalpa Pl, Missouri City, TX 77459-5709 | 2020-09-07 |
| 1073127080 | Thelma Ivy Reyesmcchesney | Nurse Practitioner | 163 Village East Dr, Los Fresnos, TX 78566-3104 | 2020-09-07 |
| 1760095251 | Chelsey Jensen Bailey | Nurse Practitioner | 433 Sagebrush Dr, Aledo, TX 76008-1340 | 2020-08-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SHANA KAY CALDWELL.
| 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.