SHANTA DEVAUGHN
NPI 1114725611
Home Health Aide in Crystal River, FL
- Individual
- Female
- Home Health Aide
About SHANTA DEVAUGHN
This page provides the complete NPI Profile along with additional information for Shanta Devaughn, a provider established in Crystal River, Florida with a medical specialization in Home Health Aide. The healthcare provider is registered in the NPI registry with number 1114725611 assigned on March 2025. The practitioner's primary taxonomy code is 374U00000X with license number 79903 (FL). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1114725611 Verify this NPI
- Provider Name
- SHANTA DEVAUGHN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 846 N GRIFFITH AVE CRYSTAL RIVER, FL 34429
- Location Phone
- (352) 302-6468
- Mailing Address
- 846 N GRIFFITH AVE CRYSTAL RIVER, FL 34429
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-03-2025
- Last Update Date
- 03-03-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Home Health Aide
- Taxonomy Code
- 374U00000X
- Type
- Nursing Service Related Providers
- License No.
- 79903
- License State
- FL
- Taxonomy Description
- A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114725611, enumerated as an "individual" on March 03, 2025.
The provider is located at 846 N GRIFFITH AVE CRYSTAL RIVER, FL 34429 and the phone number is (352) 302-6468.
Home Health Aide with taxonomy code 374U00000X.
