SHELLY SAMUELS (NPI# 1154770964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154770964 |
| Entity Type | Individual |
| Full Name | SHELLY SAMUELS |
| Credential | RN |
| Practice Address |
920 W Broadway St Hobbs NM 88240-5529 |
| Mailing Address |
Po Box 907 Hobbs NM 88241-0907 |
| Practice Telephone | 5753933168 |
| Practice Fax Number | 5753974659 |
| Mailing Telephone | 5753933168 |
| Mailing Fax Number | 5753974659 |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
75910 | NE | Nursing Service Providers |
| Street Address |
920 W BROADWAY ST |
| City | HOBBS |
| State | NM |
| Zip Code | 88240-5529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700889805 | Donald R Davis | Counselor | 920 W Broadway St, Hobbs, NM 88240-5529 | 2005-05-23 |
| 1376159459 | Misty D Nolan | Social Worker | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-09-23 |
| 1841806288 | Bonnie R Fletcher | Case Manager/Care Coordinator | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-09-21 |
| 1992310015 | Mallory Clare Carver | Behavior Technician | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-09-15 |
| 1437764404 | Patrick R Vigil | Case Manager/Care Coordinator | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-09-15 |
| 1144835075 | Staci Lynn Altman | Case Manager/Care Coordinator | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-09-08 |
| 1891309795 | Jonnasha Le'aan Banks | Case Manager/Care Coordinator | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-09-08 |
| 1922612712 | John W Dunlap | Case Manager/Care Coordinator | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-08-31 |
| 1093325466 | Lisa A Mcgruder | Peer Specialist | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-07-31 |
| 1417566910 | Laura Anne Wallace | Case Manager/Care Coordinator | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225676430 | Dma Professional Services, LLC | Dentist | Degollado 2229, Nuevo Laredo, TAMAULIPAS 88240 | 2019-12-18 |
| 1366930380 | Nor-lea Hospital District | Clinic/Center | 800 N Jefferson St Bldg Shch, Hobbs, NM 88240 | 2018-04-25 |
| 1427553668 | Ahrang Lee | Pharmacist | 1225 North Turner, Hobbs, NM 88240 | 2018-03-29 |
| 1881100907 | George E. Jossell | Pharmacist | 5419 N Lovington Highway, Hobbs, NM 88240 | 2017-12-27 |
| 1912445495 | Brittany Briseno | Social Worker | 615 West Broadway, Suite 2, Hobbs, NM 88240 | 2017-02-06 |
| 1780122291 | Valerie Kleespies | Social Worker | 215 West Broadway Street, Suite 2, Hobbs, NM 88240 | 2017-02-03 |
| 1841693082 | Cecillia Anna Espinoza | Counselor | 215 W. Broadway N#1, Hobbs, NM 88240 | 2014-10-02 |
| 1982020814 | Jennifer Pyeatt | Pharmacist | 715 W Bender, Hobbs, NM 88240 | 2014-03-17 |
| 1952738627 | Carlos Alberto Revelo | Internal Medicine | 3028 N Grimes St, Hobbs, NM 88240 | 2013-09-26 |
| 1710232665 | Border Dental Billing LLC | Dentist | Santos Degollado 3343, Nuevo Laredo, TAMAULIPAS 88240 | 2012-07-17 |
| Find all providers in zip 88240 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538632583 | Mary Pena | Registered Nurse | 920 W Broadway St, Hobbs, NM 88240-5529 | 2019-01-02 |
| 1912374638 | Iris C Bonds | Registered Nurse | 3821 W College Ln, Hobbs, NM 88242-9126 | 2015-08-28 |
| 1689005068 | Ladena E Ganaway | Registered Nurse | 920 W Broadway St, Hobbs, NM 88240-5529 | 2013-12-10 |
| 1740527167 | Manda J Gonzales | Registered Nurse | 920 W Broadway St, Hobbs, NM 88240-5529 | 2013-01-04 |
| 1053689141 | Sandra Valencia | Registered Nurse | 920 W Broadway St, Hobbs, NM 88240-5529 | 2011-12-05 |
| 1700154804 | Dolores Ann Borunda | Registered Nurse | 920 W Broadway St, Hobbs, NM 88240-5529 | 2011-12-05 |
| 1932347853 | Delilah Kay Crowley | Registered Nurse | 920 W Broadway St, Hobbs, NM 88240-5529 | 2009-01-30 |
| 1043458961 | Wanda Jeraldean Henson | Registered Nurse | 920 W Broadway St, Hobbs, NM 88240-5529 | 2009-01-30 |
| 1447498365 | Amada Samuels | Registered Nurse | 3821 W College Ln, Hobbs, NM 88242-9126 | 2009-01-30 |
| 1679744742 | Maria Mayo | Registered Nurse | 920 W Broadway St, Hobbs, NM 88240-5529 | 2008-03-17 |
| Find all providers in HOBBS | ||||
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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.