Shabana Haxton, RN, NP

Primary specialty

Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X

License

NP95018274 Issued in CA

Practice address

1101 California Ave Ste 100
Corona, CA 92881-6472

Phone

(951) 496-5238

NPI assigned

Jun 8, 2021

Last updated

Aug 12, 2024By 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 CA

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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.

• Body and Soul Health Center a Professional Nursing Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Corona, CA
  • NPI 1801542618
  Medicare reassignment NPD Authorized official
• Myezmed

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1982441341
  Medicare reassignment NPD

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1750958633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 E ONTARIO AVE # 102-103",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928818671",
            "telephone_number": "951-496-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 CALIFORNIA AVE STE 100",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928816472",
            "telephone_number": "951-496-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAXTON",
        "first_name": "SHABANA",
        "credential": "RN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "CA",
            "license": "NP95018274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Princess Annette Hatcher, D.P.M
• Markeita Hatter
• Hiba Hawasli, DDS
• Hawatmeh Dental Group PC (Bravo Dental Group of Corona)
• Hana Hawthorne, LSW
• Laurice Evette Haycraft, MSN, RN, APRN, PMHNP
• Victoria Haymon
• Tahir Haytoglu, MD
• Zheming He
• Heal Pulse Nursing PC

• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Corona, CA
• Providers in Corona, CA by specialty
• Child & Adolescent Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.