SHELBY ELLIOTT (NPI# 1013454438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013454438 |
| Entity Type | Individual |
| Full Name | SHELBY ELLIOTT |
| Practice Address |
1634 Jim Bridger Ave Casper WY 82604-3121 |
| Practice Telephone | 3077974886 |
| Mailing Telephone | 3077974886 |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2017-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417583139 | Shelby Elliott | Behavior Technician | 6761 Stage Rd, Bartlett, TN 38134-3867 | 2020-03-13 |
| Street Address |
1634 JIM BRIDGER AVE |
| City | CASPER |
| State | WY |
| Zip Code | 82604-3121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518489335 | Sasha Marie Baker | Behavior Technician | 945 Pendell Blvd, Casper, WY 82604 | 2017-07-13 |
| 1083161566 | Lori Norby | Registered Nurse | 6641 Monarch Ct, Casper, WY 82604 | 2016-09-01 |
| 1245601020 | Living for A Change LLC | Social Worker | 2045 Laramie Ave, Casper, WY 82604 | 2015-10-19 |
| 1225406754 | Patricia Masters | Respite Care | 6678 Bailey Place, Casper, WY 82604 | 2015-09-15 |
| 1619364437 | Daniel Dalen | Specialist/Technologist | 2342 Odell, Casper, WY 82604 | 2015-04-20 |
| 1568883064 | Rocky Mountain Holdings, LLC | Ambulance | 7798 Fuller St, Casper, WY 82604 | 2013-12-31 |
| 1902191638 | Diana Pauline Quealy-berge | Counselor | 3920 Swingle, Casper, WY 82604 | 2011-06-10 |
| 1093938839 | Kelly L Heenan | Counselor | 3741 Arroyo Drive, Casper, WY 82604 | 2007-04-10 |
| 1649393943 | Leslie Keeler | Case Manager/Care Coordinator | 630 10 Mile Road, Casper, WY 82604 | 2007-04-09 |
| 1386778223 | Wyoming Health Fairs | Technician, Pathology | 115 South Elm St, Casper, WY 82604 | 2007-03-15 |
| Find all providers in zip 82604 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225406754 | Patricia Masters | Respite Care | 6678 Bailey Place, Casper, WY 82604 | 2015-09-15 |
| 1316181167 | Danielle Marie Naughton | Respite Care | 1931 S Washington St, Casper, WY 82601-4855 | 2009-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942830823 | Toni Rae Vavra-wilder | Respite Care | 2407 E 16th St, Cheyenne, WY 82001-5307 | 2020-01-20 |
| 1356632087 | Candice Rae Gronberg | Respite Care | 4 Roberts Road, Lander, WY 82520-1401 | 2011-04-28 |
| 1669601217 | Jy Adekale Global Initiative | Respite Care | 4913 Ridge Rd, Cheyenne, WY 82009-5309 | 2009-07-03 |
| 1184893026 | Hope Unlimited,inc | Respite Care | 133 Shady Ln, Evanston, WY 82930-4761 | 2008-02-25 |
| 1689866790 | Mark Alan Courtney | Respite Care | 2508 Central Ave, Cody, WY 82414-9797 | 2007-08-13 |
| 1730380106 | Heather Louise Haskell | Respite Care | 261 Shipwheel Rd, Moorcroft, WY 82721 | 2007-05-31 |
| 1538370895 | Cheyenne Assisted Living & Support | Respite Care | 807 Mitchell Ct, Cheyenne, WY 82007-2814 | 2007-05-25 |
| 1750429262 | Kathleen L. Otte | Respite Care | 382 N Lincoln St, Laramie, WY 82070-6100 | 2007-02-05 |
| 1427147313 | Cheryl Ann Shoults | Respite Care | 152 Ridge Road, Torrington, WY 82240 | 2006-10-11 |
| 1437616471 | Advantage Community Supports LLC | Respite Care | 701 W Dale Blvd, Cheyenne, WY 82009-5930 | 2019-02-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.