SHAYNA SRAGG (NPI# 1336691393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336691393 |
| Entity Type | Individual |
| Full Name | SHAYNA SRAGG |
| Practice Address |
12158 Central Ave Mitchellville MD 20721-1932 |
| Mailing Address |
10706 Huntwood Dr Silver Spring MD 20901-1524 |
| Practice Telephone | 3013903076 |
| Mailing Telephone | 2507785935 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
12158 CENTRAL AVE |
| City | MITCHELLVILLE |
| State | MD |
| Zip Code | 20721-1932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619976438 | William F Duboyce | Internal Medicine | 12158 Central Ave, Mitchellville Plaza, Mitchellville, MD 20721-1932 | 2005-07-14 |
| 1487269379 | Jennifer Ann Schmith | Student in an Organized Health Care Education/Training Program | 12158 Central Ave, Mitchellville, MD 20721-1932 | 2020-09-09 |
| 1447880406 | Adrienne Nicole Tolson | Occupational Therapist | 12158 Central Ave, Mitchellville, MD 20721-1932 | 2020-01-18 |
| 1871135988 | Katherine Grove | Physical Therapy Assistant | 12158 Central Ave, Mitchellville, MD 20721-1932 | 2019-10-09 |
| 1760049480 | Jeffy Mary Mathew | Physical Therapist | 12158 Central Ave, Mitchellville, MD 20721-1932 | 2019-05-29 |
| 1801354873 | Jillian Pavlacka | Student in an Organized Health Care Education/Training Program | 12158 Central Ave, Mitchellville, MD 20721-1932 | 2019-03-07 |
| 1497228225 | Alexa Mammen | Student in an Organized Health Care Education/Training Program | 12158 Central Ave, Mitchellville, MD 20721-1932 | 2019-01-03 |
| 1205302973 | Kenny Gaston | Student in an Organized Health Care Education/Training Program | 12158 Central Ave, Mitchellville, MD 20721-1932 | 2018-10-19 |
| 1558858175 | Stephanie M Palacios | Physical Therapist | 12158 Central Ave, Mitchellville, MD 20721-1932 | 2018-04-19 |
| 1154825925 | Jasmin Estefani Casco Nataren | Student in an Organized Health Care Education/Training Program | 12158 Central Ave, Mitchellville, MD 20721-1932 | 2018-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683768 | Lucie Bakop | Nurse Practitioner | 1217 Kingsbury Drive, Bowie, MD 20721 | 2019-05-09 |
| 1699245258 | Rita Nkilo Chofong | Home Health Aide | 1810 Sahara Lane, Bowie, MD 20721 | 2018-11-27 |
| 1215416136 | Mbah Charles | Home Health Aide | 3705 Clayton Dr, Bowie, MD 20721 | 2018-08-10 |
| 1730678061 | Isabell Home Care Assisted Living LLC | Assisted Living Facility | 11609 Candor Drive, Bowie, MD 20721 | 2018-05-02 |
| 1619486974 | Orthatech Inc | Durable Medical Equipment & Medical Supplies | 12138 Central Ave #777, Suite 961, Mitchelville, MD 20721 | 2017-09-29 |
| 1780103994 | Rosefidelis Omnicare, LLC | Registered Nurse | 3815 Alta Vista Drive, Bowie, MD 20721 | 2017-09-19 |
| 1013436070 | Adisatu Renner | Counselor | 4202 Taverngreen Lane, Bowie, MD 20721 | 2017-09-11 |
| 1730607375 | Hope Inyamah Coston | Student in an Organized Health Care Education/Training Program | 12158 Central Avenue, Mitchellville, MD 20721 | 2017-09-05 |
| 1982121463 | Awal A Aziz | Specialist/Technologist, Other | 14303 Duncannon Court, Bowie, MD 20721 | 2017-08-25 |
| 1851841555 | Emmanuel K Tanyi | Home Health Aide | 10971 Spyglass Hill, Bowie, MD 20721 | 2016-10-06 |
| Find all providers in zip 20721 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730607375 | Hope Inyamah Coston | Student in an Organized Health Care Education/Training Program | 12158 Central Avenue, Mitchellville, MD 20721 | 2017-09-05 |
| 1487269379 | Jennifer Ann Schmith | Student in an Organized Health Care Education/Training Program | 12158 Central Ave, Mitchellville, MD 20721-1932 | 2020-09-09 |
| 1801354873 | Jillian Pavlacka | Student in an Organized Health Care Education/Training Program | 12158 Central Ave, Mitchellville, MD 20721-1932 | 2019-03-07 |
| 1497228225 | Alexa Mammen | Student in an Organized Health Care Education/Training Program | 12158 Central Ave, Mitchellville, MD 20721-1932 | 2019-01-03 |
| 1205302973 | Kenny Gaston | Student in an Organized Health Care Education/Training Program | 12158 Central Ave, Mitchellville, MD 20721-1932 | 2018-10-19 |
| 1154825925 | Jasmin Estefani Casco Nataren | Student in an Organized Health Care Education/Training Program | 12158 Central Ave, Mitchellville, MD 20721-1932 | 2018-03-19 |
| 1740782978 | Amanda Leah Stabile | Student in an Organized Health Care Education/Training Program | 12158 Central Ave, Mitchellville, MD 20721-1932 | 2018-03-04 |
| 1972015162 | Victor T Nguyen | Student in an Organized Health Care Education/Training Program | 12158 Central Ave, Mitchellville, MD 20721-1932 | 2017-10-29 |
| 1679000285 | Lauren Jean Clark | Student in an Organized Health Care Education/Training Program | 12158 Central Ave, Mitchellville, MD 20721-1932 | 2017-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355879 | Cristina Diana Ghinda | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St Bldg 8, Baltimore, MD 21287-0005 | 2020-10-27 |
| 1427657220 | Jonathan Robert Sligh | Student in an Organized Health Care Education/Training Program | 36 S Aurora St Apt A, Easton, MD 21601-3535 | 2020-10-22 |
| 1629676655 | Sam L Allen | Student in an Organized Health Care Education/Training Program | 705 Colby Ave, Takoma Park, MD 20912-5439 | 2020-10-12 |
| 1851999106 | Thanhthao Hoang Le | Student in an Organized Health Care Education/Training Program | 5023 Adrian St, Rockville, MD 20853-3705 | 2020-10-09 |
| 1003413345 | Nada S Wilson | Student in an Organized Health Care Education/Training Program | Vesta, 9301 Annapolis Rd, Lanham, MD 20706-1001 | 2020-10-08 |
| 1245837558 | Carol Luree Eckerl | Student in an Organized Health Care Education/Training Program | 673 Cedar Dr, Pasadena, MD 21122-4450 | 2020-10-08 |
| 1073120523 | Raymon Darby | Student in an Organized Health Care Education/Training Program | 5407 Macbeth St, Hyattsville, MD 20784-1009 | 2020-09-29 |
| 1508473273 | Nadia Nasir | Student in an Organized Health Care Education/Training Program | 4710 Bethesda Ave Apt 1512, Bethesda, MD 20814-5226 | 2020-09-28 |
| 1790391548 | Emily Kendrick Szachnowicz | Student in an Organized Health Care Education/Training Program | 1100 Paca Dr, Edgewater, MD 21037-4126 | 2020-09-17 |
| 1851906044 | Christela Turner | Student in an Organized Health Care Education/Training Program | 4710 Wilwyn Way, Rockville, MD 20852-2457 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
| City | MITCHELLVILLE |
| Zip Code | 20721 |
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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.