Shonda Lankford Haynes, OTD, MS, MBA, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2156 Issued in AL

Practice address

229 Rugged Creek Dr
Stockbridge, GA 30281-4568

Phone

(251) 284-8633

NPI assigned

Mar 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL, GA2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Master of Science

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.

• New Hope LLC

  • Occupational Therapist
  • Tuscaloosa, AL
  • NPI 1497871495

  GA

  Medicare reassignment
• Pure Integrative Wellness and Hydration LLC

  • Pediatrics Physician
  • Tuscaloosa, AL
  • NPI 1528680915
  NPD

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1467578450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 RUGGED CREEK DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814568",
            "telephone_number": "251-284-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 RUGGED CREEK DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814568",
            "telephone_number": "251-284-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "SHONDA",
        "middle_name": "LANKFORD",
        "name_prefix": "Dr.",
        "credential": "OTD, MS, MBA, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT006440",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT1536",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "2156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890016800",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146409",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet Martinez Haulk, PHARM.D.
• Patrick P Hawley, LCSW
• Brittany Hayes, CNA
• Andre Vontral Haynes, M.D.
• Deborah Elaine Haynes, M.D.
• Jessica Haynie
• Jamie Shay Hays, PA, AA-C
• Yameika A Head, M.D.
• Healing Grounds Therapy and Wellness Center
• Healing Hearts

• Occupational Therapist in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.