MS. CHRISTINA L SHELLEY (NPI# 1194724732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194724732 |
Entity Type | Individual |
Full Name | MS. CHRISTINA L SHELLEY |
Credential | NP |
Practice Address |
635 East Baseline Road Phoenix AZ 85042-6551 |
Mailing Address |
2702 North 3rd Street Suite 4020 Phoenix AZ 85004-4608 |
Practice Telephone | 6022437277 |
Practice Fax Number | 6022431235 |
Mailing Telephone | 6023233344 |
Mailing Fax Number | 6023233496 |
Enumeration Date | 2005-07-15 |
Last Update Date | 2011-12-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | RN054780 | AZ | Nursing Service Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN054780 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP1152 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 546343 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235595844 | Christina Shelley | Case Manager/Care Coordinator | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2016-01-12 |
Street Address |
635 EAST BASELINE ROAD |
City | PHOENIX |
State | AZ |
Zip Code | 85042-6551 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922376193 | Alexa Marie Diaz | Nutritionist | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2011-12-02 |
1588949770 | Laverne Alfred-allen | Dental Hygienist | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2011-10-19 |
1073891750 | Renee Thomas | Counselor | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2011-07-28 |
1851692594 | Ngoc Jade Hoang | Pharmacist | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2010-11-11 |
1699096115 | Tamara Neshae Sumler | Nurse Practitioner | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2010-06-18 |
1356668107 | Irma Herrera-olson | Dietitian, Registered | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2010-05-03 |
1689813032 | Marilyn Yelder | Nurse Practitioner | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2009-02-09 |
1891959896 | Karen Sheri Grayberg | Registered Nurse | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2008-07-18 |
1932363876 | Anitha Gaddam | Internal Medicine | 635 East Baseline Road, Phoenix, AZ 85042 | 2008-07-10 |
1366503245 | Daniel Brower | Pharmacist | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2006-12-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306443197 | Da Homes LLC | Case Management | 8026 S. 24th Way, Phoenix, AZ 85042 | 2020-10-05 |
1144790460 | Ebony House Inc | Substance Abuse Rehabilitation Facility | 6222 S. 13th Street, Phoenix, AZ 85042 | 2018-11-29 |
1427538362 | Abigail Mcgrath | Dietitian, Registered | 303 E Baseline Rd Ste 200, Phoenix, AZ 85042 | 2018-08-20 |
1174028310 | Olufemi A Omodara | Pharmacist | 7227 S. Central Ave, #1080, Phoenix, AZ 85042 | 2018-03-29 |
1720537699 | Mary Youngblood | Registered Nurse | 7210 S 27th Way, Phoenix, AZ 85042 | 2016-10-03 |
1922490382 | Brian Zembower | Optometrist | 610 E Baseline Rd Ste C3, Phoenix, AZ 85042 | 2015-02-23 |
1417299819 | Robert Murphy Portley | Psychiatry & Neurology | 2320 E Baseline Rd Ste 148-225, Phoenix, AZ 85042 | 2013-03-23 |
1972807998 | Obinna Chukwuka Akubukwe | Pharmacist | 6006 S. Central Avenue, Phoenix, AZ 85042 | 2011-01-05 |
1104120328 | Gisheys Patient Care LLC | Custodial Care Facility | 7232 South 12th Place, Phoeniz, AZ 85042 | 2011-01-03 |
1245463488 | Lois Ann Hammitt | Registered Nurse | 6218 S. 7th Street, Phoenix, AZ 85042 | 2009-09-03 |
Find all providers in zip 85042 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407456783 | Brenna Michelle Clements | Nurse Practitioner | 3226 W Donatello Dr, Phoenix, AZ 85086-2200 | 2020-10-27 |
1932712825 | Grace Wanjiru Karanja Adams | Nurse Practitioner | 200 E Thomas Rd Unit 217, Phoenix, AZ 85012-1182 | 2020-08-28 |
1649895574 | Jozzette Elaine Rubio | Nurse Practitioner | 1924 E Vineyard Rd, Phoenix, AZ 85042-5793 | 2020-06-16 |
1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
1568087955 | Christa Ann Colvin | Nurse Practitioner | 6800 E Mayo Blvd Apt 1211, Phoenix, AZ 85054-5619 | 2020-06-10 |
1497378541 | Sharon Uchechi Joshua | Nurse Practitioner | 9117 W Virginia Ave, Phoenix, AZ 85037-4233 | 2020-05-23 |
1992326102 | Ashley Elizabeth Hall | Nurse Practitioner | 15810 N 18th St, Phoenix, AZ 85022-3302 | 2020-04-28 |
1750916797 | Sebastian Freeman Smith | Nurse Practitioner | 2716 W Cedarwood Ln, Phoenix, AZ 85045-2224 | 2020-03-10 |
1295365724 | Jessica Veasy | Nurse Practitioner | 7251 N 23rd Ave, Phoenix, AZ 85021-7714 | 2020-01-23 |
1568092526 | Anuradha Lingamneni | Nurse Practitioner | 2313 E Dry Wood Rd, Phoenix, AZ 85024-8688 | 2020-01-18 |
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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.