MRS. SHAYNA NICOLE DALLAS


Address: 818 N Carriage Pkwy, Wichita, KS 67208-4500
Phone: 3166512250

MRS. SHAYNA NICOLE DALLAS (NPI# 1962979732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962979732
Entity Type Individual
Full Name MRS. SHAYNA NICOLE DALLAS
Credential FNP-C
Practice Address 818 N Carriage Pkwy
Wichita
KS 67208-4500
Mailing Address Po Box 8035
Wichita
KS 67208-0035
Practice Telephone 3166512250
Mailing Telephone 3166899135
Mailing Fax Number 3166899667
Enumeration Date 2018-10-30
Last Update Date 2020-04-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 53-79380 KS Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 818 N CARRIAGE PKWY
City WICHITA
State KS
Zip Code 67208-4500

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720054182 Rebecca A Anderson Physician Assistant 818 N Carriage Pkwy, Wichita, KS 67208 2006-02-27
1437617313 Kirsten D Garver Nurse Practitioner 818 N Carriage Pkwy, Wichita, KS 67208-4500 2019-03-09
1811341738 Youseline Eustache Nurse Practitioner 818 N Carriage Pkwy, Wichita, KS 67208-4500 2016-04-17
1215326624 Meghan Haftman Pharmacist 818 N Carriage Pkwy, Wichita, KS 67208-4500 2015-01-22
1407191703 Jene Bolen Registered Nurse 818 N Carriage Pkwy, Wichita, KS 67208-4500 2012-11-28
1326397167 Danielle M Swartsfager Nurse Practitioner 818 N Carriage Pkwy, Wichita, KS 67208-4500 2012-09-07
1124389564 Racquel Ann Sanchez Pediatrics 818 N Carriage Pkwy, Wichita, KS 67208-4500 2012-06-01
1316206691 Hugh Phong Wong Family Medicine 818 N Carriage Pkwy, Wichita, KS 67208-4500 2012-05-08
1003174814 Alisa L Schmidt Family Medicine 818 N Carriage Pkwy, Wichita, KS 67208 2012-04-30
1215236815 Jihane Sfeir Internal Medicine 818 N Carriage Pkwy, Wichita, KS 67208-4500 2011-03-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598316218 Wesley Urgent Care, LLC Clinic/Center 2060 N. Mid Campus Dr., Wichita, KS 67208 2019-09-24
1023574209 Unified Care Homes, Inc. Custodial Care Facility 5705 E Rockhill, Wichita, KS 67208 2019-02-13
1164940730 Donita Hock Occupational Therapy Assistant 622 N. Edgemoor St., Wichita, KS 67208 2017-09-05
1427439546 Mental Health Association of Sck Community/Behavioral Health 555 N Woodlawn, S 3105, Wichita, KS 67208 2015-06-15
1013311430 Adrian Matta Occupational Therapy Assistant 1915 Farmstead Street, Wichita, KS 67208 2014-10-14
1700285343 Stephanie Kendrick Physical Therapist 4921 E. 21st Street North, Wichita, KS 67208 2014-08-20
1689087942 Apeksha Sathyaprasad Pediatrics 3243 E Murdock St Ste 402, Wichita, KS 67208 2014-06-04
1437418019 J. W, Leisy M.d.p.a. Psychiatry & Neurology 3310 East Douglas #101, Wichita, KS 67208 2012-05-16
1184993156 College Hill-ltc LLC Skilled Nursing Facility 5005 East 21st Street North, Wichita, KS 67208 2011-12-21
1255616132 Thane M Vaneaton Pharmacist 3333 East Central, Wichita, KS 67208 2011-10-11
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497355473 Judith Anne Shilling Nurse Practitioner 362 N Milstead St, Wichita, KS 67212-5428 2020-10-28
1760092894 Laura Lea Aronis Nurse Practitioner 3103 N Sedgwick St, Wichita, KS 67204-4118 2020-08-04
1326663394 Evolve Diabetes LLC. Nurse Practitioner 6805 W Northwind Cir, Wichita, KS 67205-2583 2020-06-15
1619505567 Brook Moore Nurse Practitioner 328 N Mark Allen St, Wichita, KS 67212-5455 2020-03-27
1104483098 Advanced Infusion and Wellness Center, LLC Nurse Practitioner 10333 E 21st St N Ste 106, Wichita, KS 67206-3544 2019-05-25
1861978421 Celeste Delaine Grothusen Nurse Practitioner 3510 N Ridge Rd Ste 100, Wichita, KS 67205-1210 2018-07-17
1235666900 Amanda A Ewertz Nurse Practitioner 3715 N. Oliver St., Wichita, KS 67220 2017-05-12
1851672141 Keri Dawn Spencer Nurse Practitioner Heartland Home Health & Hospice, 2872 N Ridge Road Suite 122, Wichita, KS 67205-1144 2011-08-31
1558657023 Debbie Dao Nurse Practitioner 2622 W Central Ave Ste 101, Wichita, KS 67203-4970 2011-06-23
1942507785 Jill D. Crotty Nurse Practitioner 551 N Hillside St Ste 510, Wichita, KS 67214-4928 2011-02-14
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City WICHITA
Zip Code 67208

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Dataset Information

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.

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