MS. MARY ANN SHELTON (NPI# 1194181008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194181008 |
| Entity Type | Individual |
| Full Name | MS. MARY ANN SHELTON |
| Credential | LMBT |
| Practice Address |
112 Boeykens Pl Suite 3e Normal IL 61761-2152 |
| Practice Telephone | 3093109730 |
| Mailing Telephone | 3093109730 |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-01-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 227017812 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588152839 | Mary Lauren Shelton | Dietitian, Registered | 100 N Central Expy Ste 409, Richardson, TX 75080-5311 | 2018-04-23 |
| 1245872308 | Mary Ann Shelton | Counselor | 940 Ga Highway 96 Ste A, Warner Robins, GA 31088-2587 | 2019-10-10 |
| 1215321336 | Mary Shelton | Developmental Therapist | 500 Fairway Dr Ste 102, Deerfield Beach, FL 33441-1817 | 2015-03-26 |
| 1922437623 | Mary Dee Ann Shelton | Speech-Language Pathologist | 1710 S Clack St, Abilene, TX 79605-4611 | 2013-11-04 |
| 1265631394 | Mary Ellen Shelton | Social Worker | 4703 Nw 53rd Ave, Suite B-2, Gainesville, FL 32653-3415 | 2007-07-18 |
| 1588747455 | Mary Virginia Shelton | Psychologist | 1501 16th Ave S, Nashville, TN 37212-2905 | 2006-10-23 |
| Street Address |
112 BOEYKENS PL SUITE 3E |
| City | NORMAL |
| State | IL |
| Zip Code | 61761-2152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972547388 | Jennifer Lynn Hamilton | Counselor | 112 Boeykens Pl, Suite 4a, Normal, IL 61761-2152 | 2006-06-15 |
| 1649653346 | Hometown Hearing & Audiology, Inc. | Audiologist | 112 Boeykens Pl, 4a, Normal, IL 61761-6161 | 2015-06-30 |
| 1922391259 | Tyson Newson | Specialist/Technologist, Other | 112 Boeykens Pl, Suite 2a, Normal, IL 61761 | 2011-05-19 |
| 1902102825 | Olga Tremud | Specialist/Technologist, Other | 112 Boeykens Pl, Ste. 2a, Normal, IL 61761-2152 | 2011-02-10 |
| 1982845095 | Colleen Dwyer | Specialist/Technologist, Other | 112 Boeykens Pl, Suite 2a, Normal, IL 61761 | 2009-03-19 |
| 1659473437 | Nicole Angela Kelley | Social Worker | 112 Boeykens Pl, Suite 4a, Normal, IL 61761-2152 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681796 | Brittany Nicole Mekley | Nurse Practitioner | 201 N. University, Normal, IL 61761 | 2020-08-28 |
| 1679108971 | Krystal Halliday | Occupational Therapist | 1815 N Towanda Barnes Rd, Normal, IL 61761 | 2020-03-06 |
| 1265915474 | Laine E Burek | Nurse Practitioner | 1765 Bradford Ln., Normal, IL 61761 | 2018-09-13 |
| 1801389986 | Ashley Michelle James | Specialist/Technologist | 347 S. University St, Normal, IL 61761 | 2018-06-12 |
| 1447750708 | Shelley R. Ruch | Specialist/Technologist, Other | 1604 Visa Drive, Ste 1, Normal, IL 61761 | 2018-02-13 |
| 1497275069 | Mclean County Nursing Home | Non-emergency Medical Transport (VAN) | 901 N. Main St, Normal, IL 61761 | 2017-06-23 |
| 1235673666 | Megan Threm | Registered Nurse | 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 | 2016-12-04 |
| 1437513553 | Tiesha Smith | Specialist | 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 | 2016-04-06 |
| 1285031658 | New Day Recovery | Community/Behavioral Health | 402 Summit, Normal, IL 61761 | 2014-12-01 |
| 1174927701 | Alyssa Marie Bruck | Occupational Therapist | 700 N Walnut St, Normal, IL 61761 | 2014-10-10 |
| Find all providers in zip 61761 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457684789 | Lauren Schultz | Massage Therapist | 413 Greenbriar Dr, Normal, IL 61761-2266 | 2009-09-18 |
| 1306255989 | Thomas Breitbarth | Massage Therapist | 1713 Fort Jesse Rd, Suite D, Normal, IL 61761-6208 | 2014-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627872 | Patricia Pollard | Massage Therapist | 4437 N Lowell Ave Apt 2, Chicago, IL 60630-4103 | 2020-10-23 |
| 1497354104 | Lola Sanders | Massage Therapist | 844 Wilshire Dr, Belleville, IL 62223-2623 | 2020-10-22 |
| 1003415001 | Amanda L Klimczak | Massage Therapist | 1231 Ridgeland Ave, Berwyn, IL 60402-1142 | 2020-10-21 |
| 1093314148 | Jody Lee Hazel | Massage Therapist | 1750 E Colborn Camp Ln, Noble, IL 62868-2348 | 2020-10-20 |
| 1194323352 | Vanina Barnett | Massage Therapist | 112 Sussex Cir, Schaumburg, IL 60193-1835 | 2020-10-10 |
| 1063029676 | Natasha White | Massage Therapist | 8235 S Kingston Ave, Chicago, IL 60617-1909 | 2020-09-28 |
| 1407463029 | Danielle Wright | Massage Therapist | 132 S Water St Ste 430, Decatur, IL 62523-2305 | 2020-09-28 |
| 1316554272 | Paula Marie Zaloga-nowak | Massage Therapist | 4942 N Melvina Ave, Chicago, IL 60630-2908 | 2020-09-24 |
| 1780291872 | Jennifer Marshall | Massage Therapist | 6920 W 110th St, Worth, IL 60482-1425 | 2020-09-23 |
| 1326654690 | Helene Decourchelle | Massage Therapist | 3524 N Marshfield Ave Ph, Chicago, IL 60657-1248 | 2020-09-21 |
| 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.