Shana Denise Haywood

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

APRN11012397 Issued in FL

Practice address

267 E Cherry St
Groveland, FL 34736-2516

Phone

(850) 716-6675

NPI assigned

Apr 26, 2021

Last updated

Feb 22, 2026By the provider in NPPES

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Magical Moments Pediatrics, LLC

  • Primary Care Clinic/Center
  • Groveland, FL
  • NPI 1881547503
  Medicare reassignment NPD Authorized official
• Christopher B Cave MD PLLC

  • Family Medicine Physician
  • Navarre, FL
  • NPI 1245586304
  NPD
• White-Wilson Medical Center PA

  dba White-Wilson Medical Center

  • Clinic/Center
  • Fort Walton Beach, FL
  • NPI 1467437277
  NPD

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771718400000",
    "number": "1306428768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 E CHERRY ST",
            "city": "GROVELAND",
            "state": "FL",
            "postal_code": "347362516",
            "telephone_number": "850-716-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 E CHERRY ST",
            "city": "GROVELAND",
            "state": "FL",
            "postal_code": "347362516",
            "telephone_number": "850-716-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYWOOD",
        "first_name": "SHANA",
        "middle_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-26",
        "last_updated": "2026-02-22",
        "certification_date": "2026-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN11012397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akishna Mayon Glasper-Williams, LCSW
• Rachel Godfrey, LMHC, NCC, CCM, QS
• Morgan Elizabeth Goebelt
• Groveland Family & Crisis Counseling
• Alicia Pool Hanlon, ARNP
• Healing & Beyond Health Services
• Pedro Herrera Jr.
• Max Eugene High Jr., THD
• Christine Lynn Hodge
• Horses With a Mission Inc

• Pediatric Nurse Practitioner in Groveland, FL
• Providers in Groveland, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.