Mrs Shannon Woodward D'aquila Haynes, RD, CD-N is a
Dietitian, Registered based in Salem, Connecticut. Mrs Shannon Woodward D'aquila Haynes is licensed to practice in Connecticut (license number 000677) and her current practice location is
46 Rathbun Hill Rd, Salem, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 230-4176.
NPI number for Mrs Shannon Woodward D'aquila Haynes is 1558772319 and her current mailing address is 46 Rathbun Hill Rd, Salem, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558772319.
Healthcare Provider's Profile
| Full Name | Mrs Shannon Woodward D'aquila Haynes |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
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| Location | 46 Rathbun Hill Rd, Salem, Connecticut |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558772319
- Provider Enumeration Date: 05/14/2014
- Last Update Date: 02/12/2026
Medical Identifiers
Medical identifiers for Mrs Shannon Woodward D'aquila Haynes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1558772319 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 000677 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Shannon Woodward D'aquila Haynes is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Shannon Woodward D'aquila Haynes, RD, CD-N 46 Rathbun Hill Rd, Salem, CT 06420-3754 Ph: (860) 230-4176 | Mrs Shannon Woodward D'aquila Haynes, RD, CD-N 46 Rathbun Hill Rd, Salem, CT 06420-3754 Ph: (860) 230-4176 |
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