Shaneyfelt Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SHANEYFELT CLINIC

Practice address

105 S. Baltimore
Manila, AR 72442-0630

Phone

(870) 561-4421

Fax

(870) 561-3434

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Dora Elizabeth Shaneyfelt, MSN, APN, CNS

Title

Owner and Advanced Practice Nurse

Phone

(870) 561-4421

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ramona Nalini Ramrup, M.D.

  • Family Medicine Physician
  • Paragould, AR
  • NPI 1265599377

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1124175773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630",
            "address_2": "105 SOUTH BALTIMORE STREET",
            "city": "MANILA",
            "state": "AR",
            "postal_code": "724420630",
            "telephone_number": "870-561-4421",
            "fax_number": "870-561-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S. BALTIMORE",
            "city": "MANILA",
            "state": "AR",
            "postal_code": "724420630",
            "telephone_number": "870-561-4421",
            "fax_number": "870-561-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANEYFELT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "SHANEYFELT",
        "authorized_official_first_name": "DORA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER AND ADVANCED PRACTICE NURSE",
        "authorized_official_telephone_number": "870-561-4421",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSN, APN, CNS"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162966002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rays Pediatric Therapy PLLC
• Tonya Rogers, LPC
• Jordin Rone, LAC
• Susan Dianne Sanchez, LAC
• Danna Scott Deaton, APRN
• Keri D. Shrable
• Hailey Renee Smith, PLMSW
• Heather Leigh Smith, APN
• Tiffany Smith, LCSW
• Coty Sparks

• All providers in Manila, AR
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.