DANECA SHONTAYE HAGGARD (NPI# 1962978171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962978171 |
Entity Type | Individual |
Full Name | DANECA SHONTAYE HAGGARD |
Credential | NURSE PRACTITIONER |
Practice Address |
510 N Main St Emporia VA 23847-1236 |
Mailing Address |
Po Box 70 1508 Kv Road Victoria VA 23974-0070 |
Practice Telephone | 4346347723 |
Mailing Telephone | 4346962165 |
Enumeration Date | 2018-10-16 |
Last Update Date | 2018-12-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024176998 | VA | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
6800 Lucy Corr Blvd, Chesterfield, VA 23832 | 8047481511 |
Street Address |
510 N MAIN ST |
City | EMPORIA |
State | VA |
Zip Code | 23847-1236 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942681093 | Yvonne Marie Mcauliffe | Nurse Practitioner | 510 N Main St, Emporia, VA 23847-1236 | 2015-06-15 |
1982817706 | Southern Dominion Health System, Inc. | Clinic/Center | 510 N Main St, Emporia, VA 23847-1236 | 2007-05-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831689454 | Laniesha Stephens Dunn | Social Worker | 407 Halifax St Ste 3, Emporia, VA 23847 | 2018-05-18 |
1073016382 | Audrey O Brown | Private Vehicle | 2926 Slagles Road, Emporia, VA 23847 | 2018-03-13 |
1598280844 | Daisy's Transportation LLC | Driver | 710 N. Main Street, Emporia, VA 23847 | 2017-08-08 |
1336486836 | From Start 2 Finish Counseling Services, Inc | Community/Behavioral Health | 425d South Main Street, Emporia, VA 23847 | 2013-01-03 |
1316245681 | William Robert Shannonhouse Jr. | Pharmacist | 220 Market Drive, Emporia, VA 23847 | 2011-03-10 |
1669791984 | District 19 Community Services Board | Nursing Care | 502 Sadler Dr, Emporia, VA 23847 | 2010-05-26 |
1740310143 | Harold J Neal, Jr. Dds, PC | Dentist | 508 Belfield Dr., Emporia, VA 23847 | 2007-03-06 |
1376637504 | Charles V Omick | Nurse Anesthetist, Certified Registered | 727 North Main Street, Emporia, VA 23847 | 2006-10-03 |
1669496030 | Prince Squire Medical Center PC | Family Medicine | 219 Weaver Avenue, Emporia, VA 23847 | 2006-07-27 |
1003838442 | Marcelin Medical Center | Clinic/Center | 137 Baker Sreet, Emporia, VA 23847 | 2006-07-24 |
Find all providers in zip 23847 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902379738 | Shannon Denese Williams | Nurse Practitioner | 4659 Slagles Lake Rd, Emporia, VA 23847-8059 | 2019-01-03 |
1316485444 | Angela Price | Nurse Practitioner | 2509 W 18th Ave, Emporia, KS 66801-6105 | 2017-02-09 |
1033754049 | Kelly Vargo Byers | Nurse Practitioner | 6 Doctors Dr, Emporia, VA 23847-1240 | 2019-11-13 |
1720633019 | Samantha Jo Zimmerman | Nurse Practitioner | 420 W 15th Ave, Emporia, KS 66801-5367 | 2019-08-05 |
1487135836 | Anita M Isbell-graham | Nurse Practitioner | 420 W 15th Ave, Emporia, KS 66801 | 2018-08-23 |
1447740642 | Rachel S Glidden | Nurse Practitioner | 420 W 15th Ave, Emporia, KS 66801 | 2018-05-14 |
1407367071 | Amy W. Hobbs | Nurse Practitioner | 727 N Main St, Emporia, VA 23847-1274 | 2017-10-23 |
1841716016 | Lindsey Ratcliff | Nurse Practitioner | 2509 W 18th Ave, Emporia, KS 66801-6105 | 2017-08-18 |
1659896348 | Amanda Miller Temple | Nurse Practitioner | 511 Belfield Dr, Emporia, VA 23847-1217 | 2017-08-03 |
1710428461 | Lisa Connelly | Nurse Practitioner | 420 W 15th Ave, Emporia, KS 66801-5367 | 2017-03-14 |
Find all providers in EMPORIA |
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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.