MRS. NATY JANE DEMONTEVERDE SHACKELFORD (NPI# 1861037798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861037798 |
| Entity Type | Individual |
| Full Name | MRS. NATY JANE DEMONTEVERDE SHACKELFORD |
| Credential | RN BSN, AG-ACNP |
| Practice Address |
13409 Georgia Hollow Court Rosharon TX 77583-2278 |
| Practice Telephone | 2818279689 |
| Mailing Telephone | 2818279689 |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
715619 | TX | Nursing Service Providers |
| Street Address |
13409 GEORGIA HOLLOW COURT |
| City | ROSHARON |
| State | TX |
| Zip Code | 77583-2278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326658303 | Manirakiza Hiyari | Driver | 926 Bright Lotus Lane, Rosharon, TX 77583 | 2020-08-05 |
| 1225653207 | Cosmas Nyong | Licensed Vocational Nurse | 9414 Olive Stone Dr., Iowa Colony, TX 77583 | 2020-06-15 |
| 1518592831 | That's My Tooth Pllc | Clinic/Center | 3244 Meridiana Pkwy, Suite 105, Rosharon, TX 77583 | 2020-03-06 |
| 1144855610 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3232 Meridiana Pkwy, Rosharon, TX 77583 | 2020-03-05 |
| 1336617711 | Camecia Euvonne Clark | Counselor | 439 Ashley Falls Lane, Rosharon, TX 77583 | 2018-11-05 |
| 1417458803 | Olaide Ojuri | Registered Nurse | 13104 Spear Trail Ct, Rosharon, TX 77583 | 2018-02-22 |
| 1194181594 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 15027 State Hwy 6, Rosharon, TX 77583 | 2016-01-14 |
| 1205216470 | Deshun Stanley | Nursing Home Administrator | 13108 Grantham Ridge Ct, Rosharon, TX 77583 | 2015-06-03 |
| 1952729337 | Edgar Abenoja Hulipas | Family Medicine | 59 Darrington Road, Darrington State Prision, Rosharon, TX 77583 | 2014-04-02 |
| 1336494699 | Mario David Mata | Physician Assistant | 14110 Hartford Heights Way, Rosharon, TX 77583 | 2012-07-23 |
| Find all providers in zip 77583 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760098321 | Sundra Davis | Registered Nurse | 9014 Japonica Dr, Rosenberg, TX 77469-2372 | 2020-09-18 |
| 1760090237 | Jarcolla Osagie | Registered Nurse | 8329 Ariel St, Houston, TX 77074-2802 | 2020-07-21 |
| 1831707033 | Laura R Megonigal | Registered Nurse | 3830 Arbor Grove Trl, Midlothian, TX 76065-2450 | 2020-07-14 |
| 1912538620 | Susan Touchstone | Registered Nurse | 3024 Hughes Rd, Dickinson, TX 77539-7540 | 2020-01-31 |
| 1679103139 | Chelsea Moorhead | Registered Nurse | 18506 Gunda Heights Dr, Cypress, TX 77433-5068 | 2020-01-23 |
| 1457997439 | Beenish Hooda | Registered Nurse | 330 E Polk St Apt 405, Richardson, TX 75081-4175 | 2019-11-25 |
| 1922659986 | Monique Nsoedo | Registered Nurse | 19839 Youpon Leaf Way, Houston, TX 77084-3385 | 2019-09-21 |
| 1982253415 | Lauren E Reyes | Registered Nurse | 6 N Wilde Yaupon, Spring, TX 77381-4506 | 2019-09-07 |
| 1629627286 | Afanwi Mbonchom | Registered Nurse | 7519 Eastwood Lake Ln, Richmond, TX 77407-2878 | 2019-09-06 |
| 1275195653 | Latoya C Murphy | Registered Nurse | 6908 Dove Tail Dr, Mckinney, TX 75070-2013 | 2019-07-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. NATY JANE DEMONTEVERDE SHACKELFORD.
| 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.