MS. SHELLEY SMITH OTOUPALIK


Address: 7473 Grooms Rd, Missoula, MT 59808-9798
Phone: 4062407396

MS. SHELLEY SMITH OTOUPALIK (NPI# 1053407981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053407981
Entity Type Individual
Full Name MS. SHELLEY SMITH OTOUPALIK
Credential ACNP
Practice Address 7473 Grooms Rd
Missoula
MT 59808-9798
Practice Telephone 4062407396
Mailing Telephone 4062407396
Enumeration Date 2006-10-05
Last Update Date 2015-05-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 22481 MT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 7473 GROOMS RD
City MISSOULA
State MT
Zip Code 59808-9798

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447720875 Megan Elizabeth Galliford Behavioral Analyst 1647 Shindig Dr, Apt 303, Missoula, MT 59808 2018-11-28
1518473560 Willow Mahana Nelson Griffith Registered Nurse 2829 Great Northern Loop Ste 300, Missoula, MT 59808 2017-12-28
1043739428 Carol Elizabeth Mckenzie Student in an Organized Health Care Education/Training Program 2705 Oshaughnessy St, Missoula, MT 59808 2017-09-16
1558884064 Sharon Marie Herndon Nurse Practitioner 2230 N Reserve St Ste 402, Missoula, MT 59808 2017-07-18
1427594761 Erin Boggs Specialist/Technologist 2921 Dublin St, Missoula, MT 59808 2017-01-10
1942603287 Benjamin Cody Mcintosh Chiropractor 1070 N. Russell St., Missoula, MT 59808 2014-10-01
1518219617 Pure Medical Inc Ambulance 5515 Bonanza Place, Missoula, MT 59808 2012-10-12
1932462231 Kathleen F Calcagno Specialist/Technologist 2615 Connery Way, Suite 2b, Missoula, MT 59808 2012-06-21
1639454127 Dentyn Dunaway Pharmacist 2527 N Reserve Street, Missoula, MT 59808 2011-10-15
1750557690 Carl Thornblade, Md, Pllc Allergy & Immunology 2801 Great Northern Loop Ste 101, Missoula, MT 59808 2008-04-30
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558884064 Sharon Marie Herndon Nurse Practitioner 2230 N Reserve St Ste 402, Missoula, MT 59808 2017-07-18
1083015242 Arlon Harris Bennett Nurse Practitioner 2230 27th Ave Ste 3, Missoula, MT 59804-5128 2014-09-08
1750550943 Mary E Huddle Nurse Practitioner 601 W Spruce St Ste C, Occupational Health Services, St. Patrick Hospital, Missoula, MT 59802-4047 2008-02-21
1598837270 Diedra Bethune Nurse Practitioner 219 East Main St, Missoula, MT 59802 2006-11-15
1255356291 Benjamin J Miller Nurse Practitioner 2120 S Reserve St # 133, Missoula, MT 59801-6451 2006-07-12
1982672655 Eric E Edwards Nurse Practitioner 401 Railroad St W, Missoula, MT 59802-4109 2006-03-09
1174154108 Heidi Lynn Waits Nurse Practitioner 2875 Tina Ave, Missoula, MT 59808-1581 2020-01-29
1205394764 Maria Kelly Nurse Practitioner 2901 Brooks St, Missoula, MT 59801-7703 2019-03-04
1689168049 Kacia Bundle Nurse Practitioner 500 W Broadway St, Missoula, MT 59802-4008 2018-06-19
1811497076 Marnie Jean Deschamps Nurse Practitioner 900 N Orange St Ste 203, Missoula, MT 59802-2951 2018-02-14
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City MISSOULA
Zip Code 59808

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Dataset Information

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.

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