MS. SHELBY ELAINE HAVENS (NPI# 1659643997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659643997 |
| Entity Type | Individual |
| Full Name | MS. SHELBY ELAINE HAVENS |
| Credential | ARNP |
| Practice Address |
3333 Ne 39th Ave Gainesville FL 32609-2639 |
| Practice Telephone | 3524914444 |
| Practice Fax Number | 3524914410 |
| Mailing Telephone | 3524914444 |
| Mailing Fax Number | 3524914410 |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2012-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1785392 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
1785392 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514975 | Shelby Havens | Case Manager/Care Coordinator | 474 N Yellow Springs St, Springfield, OH 45504-2463 | 2020-10-05 |
| 1720605694 | Shelby Leigh Havens | Social Worker | 1200 N West Ave Ste 300, Jackson, MI 49202-2180 | 2020-06-26 |
| Street Address |
3333 NE 39TH AVE |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32609-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508308859 | Christian Nathaniel Meade | Nurse Practitioner | 3333 Ne 39th Ave, Gainesville, FL 32609-2639 | 2016-11-16 |
| 1548520596 | Cathy Christine Vergara | Nurse Practitioner | 3333 Ne 39th Ave, Gainesville, FL 32609-2639 | 2012-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285244707 | Bright Dme LLC | Durable Medical Equipment & Medical Supplies | 4306 Nw 13th Street, Gainesville, FL 32609 | 2020-08-10 |
| 1144799537 | Kimberly Laverna Peterson | Home Health Aide | 636 Nw 26th Ave Apt 119e, Gainesville, FL 32609 | 2018-11-15 |
| 1548712318 | Rebecca Maligno | Social Worker | 825 Nw 23rd Ave Bldg 3 St A, Gainesville, FL 32609 | 2016-10-27 |
| 1023470960 | Laura J Perry | Counselor | 1707 North Main St, Family Medicine At Main, Gainesville, FL 32609 | 2016-03-21 |
| 1336543131 | Christine Brunetti | Pharmacist | 2500 N. Main St, Gainesville, FL 32609 | 2014-10-22 |
| 1114352713 | Samuel Jones IIi | Pharmacist | 2500 N. Main St., Gainesville, FL 32609 | 2013-09-13 |
| 1912348228 | Timothy Manning Rogers | Pharmacist | 2046 Ne Waldo Road, Room 2227, Gainesville, FL 32609 | 2013-07-15 |
| 1205277514 | Arthur Emrie Wharton | Pharmacist | 2046 Waldo Road, Ne, Suite 2200, Gainesville, FL 32609 | 2013-07-15 |
| 1003102864 | Rocky Mountain Holdings LLC | Ambulance | 4375 Ne 48th Ave, Gainesville, FL 32609 | 2011-06-21 |
| 1760774939 | Kyle Edwin Jersey | Registered Nurse | 1128 Ne 20th Place, Gainesville, FL 32609 | 2011-05-06 |
| Find all providers in zip 32609 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235457250 | Amber Linnet Fountain | Nurse Practitioner | 200 Wisteria Drive, Gainesville, GA 30501-3827 | 2010-05-14 |
| 1093905291 | Jean Madeline Wood | Nurse Practitioner | Nf/sg Veterans Health System, Malcolm Randall Medical, Center, 1601 Sw Archer Road, Gainesville, FL 32608-1135 | 2007-07-25 |
| 1780711424 | Susan A Donaldson | Nurse Practitioner | 101 S Newell Avenue, Gainesville, FL 32611 | 2007-02-28 |
| 1295840122 | Anne Catherine Opuda | Nurse Practitioner | 825 Nw 23rd Ave, Bldg IIi Suite A, Gainesville, FL 32609-3574 | 2006-08-20 |
| 1659315299 | Nanci R Wood | Nurse Practitioner | 3751 Sw 86th St, Gainesville, FL 32608-7901 | 2006-06-15 |
| 1598379950 | Sara Rose Belmore | Nurse Practitioner | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-09-03 |
| 1962016592 | Dierdre Cooper | Nurse Practitioner | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-09-01 |
| 1659984979 | Alejandro J. Gutierrez | Nurse Practitioner | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-08-26 |
| 1659991156 | Kaleigh Lowe Holmes | Nurse Practitioner | 200 Wisteria Dr, Gainesville, GA 30501-3827 | 2020-04-24 |
| 1437781077 | Phuong Tuyen Le | Nurse Practitioner | 915 Interstate Ridge Dr Ste C, Gainesville, GA 30501-7076 | 2020-02-11 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32609 |
Please comment or provide details below to improve the information on MS. SHELBY ELAINE HAVENS.
| 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.