Individual provider Active NPI

Jeslyn Shayne Hyde, RN

  • Community Health Registered Nurse
  • Moulton, AL
National Provider Identifier
1396336764
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
1-165781 Issued in AL
Practice address
11809 Al Highway 157 Ste a
Moulton, AL 35650-2708
Phone
(256) 974-7663
NPI assigned
Jan 28, 2021
Last updated
Jan 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 1-165781 AL Primary

Addresses

Primary practice location

11809 Al Highway 157 Ste a
Moulton, AL 35650-2708

Mailing address

11809 Al Highway 157 Ste a
Moulton, AL 35650-2708

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jes.parker_3@rocketmail.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-165781ALMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Steves Discount Drugs Inc CurrentSince Jan 31, 2021 Accepting new patients
Steve's Discount Drugs, Inc. CurrentSince Jan 31, 2021 Accepting new patients

Locations

11809 AL Highway 157
Ste A
Moulton, AL 35650
Phone (256) 974-7663

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1396336764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11809 AL HIGHWAY 157 STE A",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356502708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11809 AL HIGHWAY 157 STE A",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356502708",
            "telephone_number": "256-974-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDE",
        "first_name": "JESLYN",
        "middle_name": "SHAYNE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "AL",
            "license": "1-165781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jes.parker_3@rocketmail.com",
            "affiliation": "N",
            "endpointDescription": "Steve's Drugs",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "11809 Al Highway 157 Ste A",
            "city": "Moulton",
            "state": "AL",
            "country_code": "US",
            "postal_code": "356502708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moulton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.