MR. MICHAEL TYSHUNE SHELTON (NPI# 1124251103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124251103 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL TYSHUNE SHELTON |
| Credential | RN, MSN |
| Practice Address |
315 N San Saba Ste 1075 San Antonio TX 78207-3155 |
| Mailing Address |
3750 Commercial Ave San Antonio TX 78221-3117 |
| Practice Telephone | 2109227000 |
| Practice Fax Number | 2102270282 |
| Mailing Telephone | 2109227000 |
| Mailing Fax Number | 2102270282 |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2020-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN 794786 | TX | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F1009375 NP-C | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3845 S Padre Island Dr, Pediatric Center, Corpus Christi, TX 784152919 | 3618544626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205205226 | Michael Shelton | Counselor | 525 South 4th Street, Suite 471, Equilibria, Philadelphia, PA 19147 | 2015-09-21 |
| 1801917208 | Michael Lynn Shelton | Non-emergency Medical Transport (VAN) | 622 Lazy Ln, Mount Carmel, TN 37645 | 2007-04-03 |
| 1225124407 | Michael W Shelton | Family Medicine | 2715 Morrison St, Houston, TX 77009-7613 | 2006-10-05 |
| 1235241977 | Michael E Shelton | Dentist | 1425 Mcarthur St, Manchester, TN 37355-2517 | 2006-08-31 |
| 1003810995 | Michael Vise Shelton | Family Medicine | 4222 Wendover Ave, Ste 600, Odessa, TX 79762-5983 | 2005-06-08 |
| 1396372033 | Michael Alan Shelton | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-03-24 |
| 1346887320 | Michael Shelton | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2019-12-09 |
| 1326329426 | Michael Jesse Shelton | Pharmacist | 919 W Mercury Blvd, Hampton, VA 23666-4322 | 2011-09-01 |
| 1962687301 | Michael Scott Shelton | Occupational Therapy Assistant | 5901 Broken Sound Pkwy Ste 500, Boca Raton, FL 33487-2791 | 2008-01-03 |
| 1639350051 | Michael L. Shelton | Anesthesiology | 840 Montclair Rd, Suite 317, Birmingham, AL 35213-1920 | 2007-11-14 |
| Street Address |
315 N SAN SABA STE 1075 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78207-3155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134180995 | Clevert Hugo Tseng | Pediatrics | 315 N San Saba Ste 1075, San Antonio, TX 78207-3155 | 2006-03-31 |
| 1770198616 | Katherine Leang Villarreal | Nurse Practitioner | 315 N San Saba Ste 1075, San Antonio, TX 78207-3155 | 2020-09-08 |
| 1013562842 | El Centro Del Barrio, Inc | Clinic/Center | 315 N San Saba Ste 1075, San Antonio, TX 78207-3155 | 2019-08-08 |
| 1336422765 | Paula P Valdez | Physician Assistant | 315 N San Saba Ste 1075, San Antonio, TX 78207-3155 | 2011-09-22 |
| 1497983134 | Juan E Carballo | Pediatrics | 315 N San Saba Ste 1075, San Antonio, TX 78207-3155 | 2009-07-01 |
| 1124283627 | San Antonio Pediatric Assciates Pa | Pediatrics | 315 N San Saba Ste 1075, San Antonio, TX 78207-3155 | 2008-07-23 |
| 1730370511 | Cathy Marie Hendriks | Nurse Practitioner | 315 N San Saba Ste 1075, San Antonio, TX 78207-3155 | 2007-08-06 |
| 1831142322 | Ernesto Varela | Pediatrics | 315 N San Saba Ste 1075, San Antonio, TX 78207-3155 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457999849 | Eri Industries, LLC, Dba Eri Group Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2300 W. Commerce#216, San Antonio, TX 78207 | 2019-12-16 |
| 1164087854 | Jesse G Trevino | Student in an Organized Health Care Education/Training Program | 700 S Zarzamora Ste 209, San Antonio, TX 78207 | 2019-05-08 |
| 1669036869 | Anjali Patel | Student in an Organized Health Care Education/Training Program | 903 W. Martin Street, San Antonio, TX 78207 | 2019-04-24 |
| 1811488257 | Thomas Ellis Tippit Sr. | Dentist | 711 North Frio St, San Antonio, TX 78207 | 2018-05-22 |
| 1619426053 | Erica Annotti | Nurse Practitioner | 903 W Martin St Fl 6, San Antonio, TX 78207 | 2016-09-27 |
| 1801255435 | Mona Anwar El-kady | Audiologist | 411 S.w. 24th St, Jersig Building J119, San Antonio, TX 78207 | 2016-02-10 |
| 1053785683 | Lisa Marie Ramos | Speech-Language Pathologist | 230 Rounds, San Antonio, TX 78207 | 2015-11-19 |
| 1568840221 | Gabriel Tamayo | Physical Therapist | 701 S Zarzarmora, San Antonio, TX 78207 | 2015-05-14 |
| 1588042717 | Priya Amin | Podiatrist | 701 S Zarzamora St Ste 2120, San Antonio, TX 78207 | 2015-05-07 |
| 1437545837 | Jesse Banales | Student in an Organized Health Care Education/Training Program | 333 North Santa Road, Ccf-f3725, San Antonio, TX 78207 | 2015-04-13 |
| Find all providers in zip 78207 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224834 | Natasha Bakunda | Nurse Practitioner | Fountainhead One Tower, 8200 Ih-10 West, Ste 317, San Antonio, TX 78230 | 2020-10-30 |
| 1033719521 | Macy Atkins | Nurse Practitioner | 6676 Utsa Blvd, San Antonio, TX 78249-5100 | 2020-10-26 |
| 1801494554 | Yordanis Rafael Fonseca Vega | Nurse Practitioner | 12521 Nacogdoches Rd Ste 101, San Antonio, TX 78217-2117 | 2020-10-14 |
| 1255939237 | Ashley Elizabeth Swartz | Nurse Practitioner | 9502 Huebner Rd Ste 101, San Antonio, TX 78240-1683 | 2020-10-13 |
| 1871190173 | Cynthia B Elkins | Nurse Practitioner | 24806 Terlingua Bnd, San Antonio, TX 78261-2726 | 2020-10-08 |
| 1588270623 | Amanda Razo | Nurse Practitioner | 6315 Welles Arbor Cir, San Antonio, TX 78240-2148 | 2020-09-23 |
| 1255946935 | Norberto Hernandez Iv | Nurse Practitioner | 11501 Braesview Apt 3903, San Antonio, TX 78213-1262 | 2020-09-10 |
| 1033723655 | Hira Mughal | Nurse Practitioner | 9850 Twinbear Crk, San Antonio, TX 78245-9596 | 2020-09-01 |
| 1366055675 | Maria Christina Cruz Tijerina | Nurse Practitioner | 18518 Hardy Oak Blvd Apt 135, San Antonio, TX 78258-4759 | 2020-08-26 |
| 1225649593 | Gina M Duron | Nurse Practitioner | 10730 Green Trail Dr, San Antonio, TX 78223-4224 | 2020-08-11 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78207 |
Please comment or provide details below to improve the information on MR. MICHAEL TYSHUNE SHELTON.
| 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.