Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shonda Kaye Haymaker, CNP

Individual provider Family Medicine Physician · NPI 1548428790

Shonda Kaye Haymaker, CNP is a Nurse Practitioner in Canton, Ohio. Qualified in 2007, 19 years ago. Practices with Phoenix Rising Behavioral Healthcare and Recovery, Inc, a 30-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
19
Licensed in
OH
In the registry since
2008
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

624 Market Ave N
Canton, OH 44702-1017
Phone: (330) 493-4553
Fax: (330) 493-3761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence APRN.CNP.09758 (OH)
Family Medicine Physician Taxonomy 207Q00000X · Licence APRN.CNP.09758 (OH)

Record details

NPI number1548428790
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedMay 23, 2008
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Phoenix Rising Behavioral Healthcare And Recovery, Inc. — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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