MRS. SHAWON LYNN GULLETTE (NPI# 1376085258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376085258 |
| Entity Type | Individual |
| Full Name | MRS. SHAWON LYNN GULLETTE |
| Credential | CERTIFIED HAIR LOSS |
| Practice Address |
5250 Far Hills Ave Dayton OH 45429-2382 |
| Practice Telephone | 9372810555 |
| Mailing Telephone | 9372810555 |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers |
| Street Address |
5250 FAR HILLS AVE |
| City | DAYTON |
| State | OH |
| Zip Code | 45429-2382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114925112 | Marshall Claude Wareham | Ophthalmology | 5250 Far Hills Ave, Suite 207, Dayton, OH 45429-2382 | 2005-07-13 |
| 1639422108 | Preferred Plastic Surgery & Skin Care Center LLC | Surgery | 5250 Far Hills Ave, Suite 110, Dayton, OH 45429-2382 | 2012-10-22 |
| 1699967513 | Fleagle Internal Medicine LLC | Internal Medicine | 5250 Far Hills Ave, Suite 210, Dayton, OH 45429 | 2007-08-14 |
| 1326173964 | Allied Eye Physicians & Surgeons Inc | Optometrist | 5250 Far Hills Ave, Suite 207, Dayton, OH 45429-2382 | 2007-02-23 |
| 1285735076 | Ramzieh Azmeh | Pediatrics | 5250 Far Hills Ave, Suite 260, Dayton, OH 45429-2382 | 2006-09-26 |
| 1720198112 | Keith Perrine | Plastic Surgery | 5250 Far Hills Ave, 110, Dayton, OH 45429-2382 | 2006-08-30 |
| 1386642205 | Thomas R Connon | Optometrist | 5250 Far Hills Ave, Suite 207, Dayton, OH 45429-2382 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
| Find all providers in zip 45429 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609340686 | Dawn Denean Rucker-turner | Specialist | 210 Springboro Pike, Dayton, OH 45449-3640 | 2019-01-14 |
| 1518463264 | Diverse Hair Expressions | Specialist | 405 W Grand Ave, Dayton, OH 45405-7538 | 2018-04-02 |
| 1902302649 | Nakeda Lindsey | Specialist | 405 W Grand Ave, Dayton, OH 45405-7538 | 2018-04-02 |
| 1649798596 | Raeshetta N Thompson | Specialist | 120 W 2nd St, Dayton, OH 45402-1604 | 2017-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151876 | Toni Holmes | Specialist | 1841 Spring Grove Ln, Middletown, OH 45044-2946 | 2020-10-16 |
| 1609474535 | Custom Ce LLC | Specialist | 4224 Chambers St, Cincinnati, OH 45223-1826 | 2020-10-13 |
| 1992264691 | Shante Franklin | Specialist | 5336 Globe Ave, Cincinnati, OH 45212-1561 | 2019-03-13 |
| 1396201299 | Islay LLC | Specialist | 524 Park Ave W, Mansfield, OH 44906-3720 | 2019-02-15 |
| 1316401060 | Lauren Deseret Walker | Specialist | 230 Northland Blvd Ste 300, Springdale, OH 45246-3600 | 2019-01-28 |
| 1891266243 | Eboni Shavon Everage | Specialist | 3501 Burnet Ave, Cincinnati, OH 45229-2878 | 2018-12-11 |
| 1063983617 | Tamora Boykin | Specialist | 1830 Wakefield Dr, Akron, OH 44320-1648 | 2018-12-07 |
| 1124595301 | Timiko S Kiner | Specialist | 1244 Flaire Dr Ste 105, Toledo, OH 43615-4671 | 2018-10-25 |
| 1710490172 | Ac Styles LLC | Specialist | 4281 Morse Rd, Gahanna, OH 43230-1522 | 2017-11-08 |
| 1780197285 | A Diva's Dream Salon LLC | Specialist | 23054 Emery Rd, Warrensville Heights, OH 44128-5135 | 2017-11-07 |
| Find all providers with the same taxonomy | ||||
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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.