Shavonda Haynes

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT132447 Issued in TX

Practice address

4646 Corona Dr Ste 172
Corpus Christi, TX 78411-4361

Phone

(361) 947-0958

NPI assigned

Aug 29, 2024

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Massage Center

  • Massage Therapist
  • Corpus Christi, TX
  • NPI 1912788365

  Single Specialty

  NPD

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1952135105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 S STAPLES ST APT 4609",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133754",
            "telephone_number": "806-886-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 CORONA DR STE 172",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114361",
            "telephone_number": "361-947-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "SHAVONDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT132447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shauna Hayden-Zbranek, LCSW
• Javon Hayes, DPT
• Margaret A Hayes, LPC
• Kenneth David Haynes, D.D.S.
• Madyson Dann Haynes
• Cara Haynie-Pena, MS, LPC
• Susan Michele Hays, PT
• Marianne Hazelitt, D.O
• HCA Houston OB Hospitalist, PLLC
• Healing Orchid Wellness & Counseling, PLLC

• Massage Therapist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.