DYLAN BURNETTSHELLEY (NPI# 1134661754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134661754 |
| Entity Type | Individual |
| Full Name | DYLAN BURNETTSHELLEY |
| Practice Address |
942 S Santa Fe St Visalia CA 93292 |
| Mailing Address |
942 S Santa Fe St Visalia CA 93292-2912 |
| Practice Telephone | 5596364000 |
| Practice Fax Number | 5596241067 |
| Mailing Telephone | 5956364000 |
| Mailing Fax Number | 5596364000 |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2019-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1055 W Henderson Ave, Porterville, CA 932571490 | 5597881235 |
| Street Address |
942 S SANTA FE ST |
| City | VISALIA |
| State | CA |
| Zip Code | 93292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073714192 | Angela Priscilla Fraticelli | Counselor | 942 S Santa Fe St, Visalia, CA 93292-2912 | 2007-05-29 |
| 1215567334 | Rufino Orong | Case Manager/Care Coordinator | 942 S Santa Fe St, Visalia, CA 93292-2912 | 2020-01-16 |
| 1487204731 | Jamie Buck | Case Manager/Care Coordinator | 942 S Santa Fe St, Visalia, CA 93292-2912 | 2019-09-18 |
| 1184106627 | Dolores Garcia | Counselor | 942 S Santa Fe St, Visalia, CA 93292-2912 | 2018-08-31 |
| 1083105241 | James Murl Rouse Jr. | Counselor | 942 S Santa Fe St, Visalia, CA 93292-2912 | 2018-05-23 |
| 1235620493 | Jorge Nicolas Chavez | Counselor | 942 S Santa Fe St, Visalia, CA 93292-2912 | 2018-05-23 |
| 1952846529 | Virginia Juanita Tolento | Counselor | 942 S Santa Fe St, Visalia, CA 93292-2912 | 2017-01-05 |
| 1083159933 | Lisa Fagundes | Counselor | 942 S Santa Fe St, Visalia, CA 93292-2912 | 2017-01-02 |
| 1407304678 | County of Tulare Health and Human Services Agency | Community/Behavioral Health | 942 S Santa Fe St, Visalia, CA 93292-2912 | 2016-09-16 |
| 1902350184 | Thomas Marchbanks | Counselor | 942 S Santa Fe St, Visalia, CA 93292 | 2016-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578191565 | Deborah Mcgee Millner | Marriage & Family Therapist | 520 E. Tulare Avenue, Visalia, CA 93292 | 2020-03-27 |
| 1699316174 | Comfy Medical Transportation | Non-emergency Medical Transport (VAN) | 2321 S Cain Ct, Visalia, CA 93292 | 2019-10-04 |
| 1730671363 | Denise Giroux | Dietitian, Registered | 3316 E Birch Ct, Visalia, CA 93292 | 2018-05-30 |
| 1598262180 | Emily Marie Delgado | Case Manager/Care Coordinator | 3923 E Vassar Ct, Visalia, CA 93292 | 2018-04-10 |
| 1679076509 | Courtney Anne Penebaker | Counselor | 1425 East Walnut, Visalia, CA 93292 | 2018-03-16 |
| 1568999688 | Shu-jen Lee Shaw | Case Manager/Care Coordinator | 520 E. Tulare Ave., Visalia, CA 93292 | 2017-05-19 |
| 1225585771 | Federico Ramirez | Case Manager/Care Coordinator | 543 E Tulare Ave, Visalia, CA 93292 | 2016-09-01 |
| 1558762369 | John Brickley Kelleher | Pharmacist | 616 E Buena Vista Ave, Visalia, CA 93292 | 2014-09-11 |
| 1609285618 | Rosemary Carrasco Leon | Obstetrics & Gynecology | 32665 Ray Court Street, Visalia, CA 93292 | 2014-08-05 |
| 1407118219 | Geethanjali Suratkal Pandey | Pharmacist | 2733 E Connelly Ave, Visalia, CA 93292 | 2012-06-08 |
| Find all providers in zip 93292 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942767710 | Jeremy Clifton Mccallister | Counselor | 120 W. School Ave., Visalia, CA 93291 | 2019-02-27 |
| 1356839773 | Jay Gabriel Diaz | Counselor | 1646 South Court Street, Visalia, CA 93277 | 2018-05-01 |
| 1194212696 | Turning Point of Central California Inc. | Counselor | 1845 1/2 South Court Street, Visalia, CA 93277 | 2018-04-19 |
| 1679076509 | Courtney Anne Penebaker | Counselor | 1425 East Walnut, Visalia, CA 93292 | 2018-03-16 |
| 1932625308 | Christina Gonzalez | Counselor | New Hope, 212 N. Stevenson, Visalia, CA 93291 | 2017-08-17 |
| 1316308471 | Jeffery White | Counselor | 3107 E Kaweah Ave, Visalia, CA 93292-3309 | 2016-03-16 |
| 1275951931 | Francisco Tomas Ruiz | Counselor | 1845 S Court St, Visalia, CA 93277-5423 | 2014-03-31 |
| 1619306289 | Mark Gonzales | Counselor | 4023 W Douglas Ave, Visalia, CA 93291-4185 | 2013-11-04 |
| 1326390972 | Steve L Cummings | Counselor | 120 W School Ave, Visalia, CA 93291-4925 | 2012-10-05 |
| 1669771739 | Michaele Diane Mckinney | Counselor | Tulare County Hhsa Alcohol & Drug Div., 942 South Santa Fe, Visalia, CA 93292 | 2011-03-15 |
| Find all providers in VISALIA | ||||
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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.