Shelley Yerger Hawkins, DSN, APRN-BC, FAANP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

004246 Issued in CT

Practice address

100 Church St S
#271
New Haven, CT 06519-1703

Phone

(205) 999-9029

Fax

(203) 785-6455

NPI assigned

Apr 12, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Informed Care Solution, Inc

  • Nurse Practitioner
  • Charlottesville, VA
  • NPI 1710176912
  NPD (past)
• Informed Care Solutions, Inc

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1417146408
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274659200000",
    "number": "1023232139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CHURCH ST S",
            "address_2": "#271",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191703",
            "telephone_number": "205-999-9029",
            "fax_number": "203-785-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHURCH ST S",
            "address_2": "#271",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191703",
            "telephone_number": "205-999-9029",
            "fax_number": "203-785-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "SHELLEY",
        "middle_name": "YERGER",
        "name_prefix": "Dr.",
        "credential": "DSN, APRN-BC, FAANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2010-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "004246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime T Hawat
• Kathryn Frances Hawk, M.D.
• Arya Alexander Hawkins-Zafarnia
• Dietra Dione Hawkins, PSYD
• Keith Hawkins, PSY.D.
• Hae-Young Hawong, D.O. PHD
• Tobias Hawthorne, PMHNP-C
• Christopher Hayden
• Jordan Ann Hayden, LPC
• Amy Haydon-Ryan, BS, PA-C

• Family Nurse Practitioner in New Haven, CT
• Providers in New Haven, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.