MRS. HALEY RAE SHRUM (NPI# 1619327111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619327111 |
| Entity Type | Individual |
| Full Name | MRS. HALEY RAE SHRUM |
| Credential | MSN |
| Practice Address |
450 E Sigler Ave Memphis MO 63555-1726 |
| Mailing Address |
31702 Lake St Macon MO 63552-3509 |
| Practice Telephone | 6604658511 |
| Mailing Telephone | 6603468428 |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2002003877 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
450 E SIGLER AVE |
| City | MEMPHIS |
| State | MO |
| Zip Code | 63555-1726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205844982 | Scotland County Memorial Hospital | Family Medicine | 450 E Sigler Ave, Suite A, Memphis, MO 63555-1726 | 2006-08-04 |
| 1235761826 | Marissa Ann Burgess | Physician Assistant | 450 E Sigler Ave, Memphis, MO 63555-1726 | 2020-02-11 |
| 1316486293 | Teresa Marie Kirchner | Nurse Practitioner | 450 E Sigler Ave, Ste A, Memphis, MO 63555-1726 | 2017-02-13 |
| 1518404847 | Scotland County Community Health Development Services, Inc. | Pharmacy | 450 E Sigler Ave, Suite A-2, Memphis, MO 63555-1726 | 2017-01-24 |
| 1437526258 | Jessica Christen | Nurse Practitioner | 450 E Sigler Ave, Ste A, Memphis, MO 63555-1726 | 2015-08-27 |
| 1801271788 | Sonya See | Nurse Practitioner | 450 E Sigler Ave, Ste A, Memphis, MO 63555-1726 | 2015-07-21 |
| 1962818468 | Jenna Williams | Nurse Practitioner | 450 E Sigler Ave, Ste A, Memphis, MO 63555-1726 | 2014-07-03 |
| 1841617180 | Jennifer Mcminn | Physical Therapy Assistant | 450 E Sigler Ave, Memphis, MO 63555-1726 | 2014-03-25 |
| 1881011468 | Meagan Weber | Specialist | 450 E Sigler Ave, Scotland County Hospital, Memphis, MO 63555-1726 | 2014-03-21 |
| 1114343308 | Carrie Hamner | Physical Therapist | 450 E Sigler Ave, Memphis, MO 63555-1726 | 2014-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548433485 | Pkanesthesia, Inc | Nurse Anesthetist, Certified Registered | Rt 1 Box 53, Memphis, MO 63555 | 2008-04-11 |
| 1235284167 | Darrell Lynn Monroe | Chiropractor | 107 East Monroe, Memphis, MO 63555 | 2007-01-23 |
| 1952496002 | Jeanne Kay Camden | Chiropractor | 321 North Clay, Hwy 15 North, Memphis, MO 63555 | 2006-10-04 |
| 1639190069 | Randall Tobler | Obstetrics & Gynecology | Sigler Ave, R1, Memphis, MO 63555 | 2006-07-21 |
| 1043788250 | Scotland County Pharmacy Inc | Pharmacy | 445 E Grand Ave, Memphis, MO 63555 | 2018-11-06 |
| 1093894206 | Marilyn Lee Day | Nurse Practitioner | Sigler Ave, Memphis Medical, Memphis, MO 63555 | 2006-11-06 |
| 1730293705 | Robert Wayne Jackson | Internal Medicine | Sigler Ave, Memphis, MO 63555 | 2006-08-18 |
| 1306139027 | Nicholas R Rhodes | Massage Therapist | 429 W Madison St, Memphis, MO 63555-1054 | 2011-05-27 |
| 1275709610 | Harlo Lee Donelson | Dentist | 125 S Main, Memphis, MO 63555-1423 | 2008-05-06 |
| 1801038948 | Lisa Marie Peterson | Social Worker | 215 S Main St, Memphis, MO 63555-1425 | 2009-04-06 |
| Find all providers in zip 63555 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787193 | Nancy Katherine Ray | Nurse Practitioner | 4576 Poplar Ave, Memphis, TN 38117-7502 | 2020-10-16 |
| 1245837533 | Sandra Dee Garrison | Nurse Practitioner | 335 Lillian Dr, Memphis, TN 38109-4431 | 2020-10-08 |
| 1972119527 | Oneka E Poindexter | Nurse Practitioner | 86 N Rembert St, Memphis, TN 38104-2766 | 2020-09-18 |
| 1295346260 | Jimarie Nelson | Nurse Practitioner | 5100 Poplar Ave Ste 2007, Memphis, TN 38137-2007 | 2020-08-13 |
| 1346869187 | Tollaria Williams | Nurse Practitioner | 3797 Old Waverly Cv Apt 201, Memphis, TN 38125-2678 | 2020-04-12 |
| 1497388912 | Michelle Denise Jones | Nurse Practitioner | 493 Doctor M.l.k. Jr Ave, Memphis, TN 38126-3812 | 2020-02-13 |
| 1336781657 | J Wilson Health LLC | Nurse Practitioner | 5100 Poplar Ave, Fl 27 Ste 2719a, Memphis, TN 38137-2701 | 2019-10-09 |
| 1265081574 | Natalie Staten | Nurse Practitioner | 7651 Shelby Forest Cv, Memphis, TN 38125-2822 | 2019-09-09 |
| 1881247740 | Mekeilah Nevaun Johnson | Nurse Practitioner | 6005 Park Ave Ste 825b, Memphis, TN 38119-5223 | 2019-07-19 |
| 1205488087 | Wendy Powell | Nurse Practitioner | 1407 Union Ave Ste 405, Memphis, TN 38104-3627 | 2019-07-12 |
| Find all providers in MEMPHIS | ||||
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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.