SHANTA LACOLE CLAYTON (NPI# 1831699586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831699586 |
Entity Type | Individual |
Full Name | SHANTA LACOLE CLAYTON |
Credential | RN |
Practice Address |
437 S Morris Rd Lot 1 Moultrie GA 31768-0874 |
Practice Telephone | 2295296473 |
Mailing Telephone | 2295296473 |
Enumeration Date | 2018-02-20 |
Last Update Date | 2018-02-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
RN251414 | GA | Nursing Service Providers |
Street Address |
437 S MORRIS RD LOT 1 |
City | MOULTRIE |
State | GA |
Zip Code | 31768-0874 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104329689 | The Pink Penny Private Home Care, LLC | Home Health | 437 S Morris Rd Lot 1, Moultrie, GA 31768-0874 | 2018-03-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356975452 | Zachary Schiffer | Specialist/Technologist | 3131 S Main Street, Moultrie, GA 31768 | 2020-02-27 |
1326697731 | Daisy Concierge Care | Nursing Care | 437 S. Morris Rd Lt 1, Moultrie, GA 31768 | 2019-09-09 |
1194208751 | Regina Mercer Ward | Nurse Practitioner | 1724 Villa Dr Sw, Moultrie, GA 31768 | 2018-09-10 |
1225473630 | Moultrie Orthodontics, P.C. | Clinic/Center | 12 Longleaf Office Park, Moultrie, GA 31768 | 2013-04-30 |
1497032239 | Freds Stores of Tennessee Inc | Pharmacy | 2601 South Main Street, Moultrie, GA 31768 | 2011-11-08 |
1821382672 | Colquitt Regional Ob/gyn, LLC | Obstetrics & Gynecology | 3 Sweet Bay Ct, Moultrie, GA 31768 | 2011-06-08 |
1568779809 | Shana Goodno | Nurse Practitioner | 207 31 St Ave Se, Moultrie, GA 31768 | 2010-09-08 |
1508177445 | Cherokee Rose Emergency Physicians | Emergency Medicine | 3131 South Main Street, Moultrie, GA 31768 | 2010-06-25 |
1023299963 | Hetal Patel | Counselor | 600 2nd St South East, Moultrie, GA 31768 | 2007-11-20 |
1720146756 | William C Byrd Inc | Assisted Living Facility | 498 5th Street Se, Moultrie, GA 31768 | 2006-12-04 |
Find all providers in zip 31768 |
Taxonomy Code | 163WM0705X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Medical-Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265047203 | Ramona A Martinez | Registered Nurse | 40 Rosebud Ln, Mcdonough, GA 30253-5450 | 2020-09-15 |
1316581945 | Sheena Maria Hall | Registered Nurse | 2969 Hollow Ln, Powder Springs, GA 30127-1864 | 2019-11-06 |
1689193989 | Mary E Parker | Registered Nurse | 1502 Valwood Ave, Thomasville, GA 31792-3943 | 2017-09-18 |
1043738909 | Latoya Katrese Buford | Registered Nurse | 2022 Fairburn Rd Ste D, Douglasville, GA 30135-1062 | 2017-08-31 |
1205237971 | Ronald Toups Jr. | Registered Nurse | 1907 Dry Valley Rd, Rossville, GA 30741-6171 | 2014-09-11 |
1114337359 | Jean Green | Registered Nurse | 232 Crepe Myrtle Cir, Ocilla, GA 31774-3348 | 2014-04-28 |
1558631986 | Elizabeth Flannery | Registered Nurse | 500 Northside Cir Nw, Atlanta, GA 30309-2122 | 2012-01-02 |
1932478047 | Sarah G Talone | Registered Nurse | 6 Red Bud Dr, Fort Stewart, GA 31315-1056 | 2011-12-19 |
1346432895 | Santredra F Wright | Registered Nurse | 2799 Davis Mill Rd, Hephzibah, GA 30815-6904 | 2007-08-17 |
1285653253 | Sheila Armstrong | Registered Nurse | 1075 Jesse Jewell Pkwy Ne Ste B, Suite B, Gainesville, GA 30501-3814 | 2006-07-19 |
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.