MISS SHELBY MICHELLE PETERSEN


Address: 10310 W Markham St Ste 205, Little Rock, AR 72205-1579
Phone: 5014067910

MISS SHELBY MICHELLE PETERSEN (NPI# 1285146142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285146142
Entity Type Individual
Full Name MISS SHELBY MICHELLE PETERSEN
Credential SLP-A
Practice Address 10310 W Markham St Ste 205
Little Rock
AR 72205-1579
Mailing Address 104 Calais Cv
Little Rock
AR 72223-9575
Practice Telephone 5014067910
Mailing Telephone 5019402335
Enumeration Date 2017-11-01
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2355S0801X Specialist/Technologist
Specialization: Speech-Language Assistant
18-007 AR Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AR ARKANSAS BOARD OF EXAMINERS IN SPEECH PATHOLOGY AND AUDIOLOGY 18-007 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
104 Calais Cv, Little Rock, AR 722239575 5019402335

Other Providers SHELBY PETERSEN

NPI Name Taxonomy Address Enumeration
1205329992 Shelby Petersen Technician/Technologist 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454 2018-06-07

Office Location

Street Address 10310 W MARKHAM ST STE 205
City LITTLE ROCK
State AR
Zip Code 72205-1579

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760092266 Maggie Mcmorran Speech-Language Pathologist 10310 W Markham St Ste 205, Little Rock, AR 72205-1579 2020-08-09
1114552569 Madisyn Stewart Occupational Therapy Assistant 10310 W Markham St Ste 205, Little Rock, AR 72205-1579 2020-03-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932719465 Darleisha Renee Stigall Behavior Technician 1210 Aldersdate Rd, Little Rock, AR 72205 2020-08-10
1316563638 Unknown Amisha Student in an Organized Health Care Education/Training Program 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 2020-06-23
1225667272 Ann-marie Frances Hayre Student in an Organized Health Care Education/Training Program 4310 West Markham, Slot 589, Little Rock, AR 72205 2020-04-02
1952930075 Alexandria Leigh Smith Student in an Organized Health Care Education/Training Program 4301 West Markham St, Slot 531, Little Rock, AR 72205 2020-04-02
1093353922 Phil Fagala Pharmacist 614 North Beechwood, Little Rock, AR 72205 2019-12-10
1295391688 Home To Community Living, Inc Physical Therapist 10201 W Markham Street Pulaski, Little Rock, AR 72205 2019-05-12
1669933693 Sandy Louise Webb Student in an Organized Health Care Education/Training Program 4301 West Markham, Slot 530, Little Rock, AR 72205 2019-03-31
1457812828 Vincent Battafarano Student in an Organized Health Care Education/Training Program 4301 West Markham, Slot 602, Little Rock, AR 72205 2019-03-28
1063978922 Franks Pediatric Occupational Therapy LLC Occupational Therapist 5516 C St, Little Rock, AR 72205 2019-02-15
1497210199 Integrative Counseling Center LLC Counselor 10515 W Markham St Ste D3, Little Rock, AR 72205 2019-02-06
Find all providers in zip 72205

Taxonomy Information

Taxonomy Code 2355S0801X
Grouping Speech, Language and Hearing Service Providers
Classification Specialist/Technologist
Specialization Speech-Language Assistant

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164963047 Terrie Ann Nash Specialist/Technologist 16 Eagle Nest Ct, Little Rock, AR 72210-8793 2017-03-13
1932657020 Anna Lindsey Specialist/Technologist 7020 W Markham St, Little Rock, AR 72205-2777 2016-09-16
1962866731 Juanita Yuille Specialist/Technologist 1122 S Cross St, Little Rock, AR 72202-4738 2016-04-07
1255537452 Yolanda Michelle Rawls Specialist/Technologist 7912 Mabelvale Pike, Little Rock, AR 72209-3353 2007-06-25
1932766516 Shannon Dale Toye Specialist/Technologist 1410 W Daisy L Gatson Bates Dr, Little Rock, AR 72202-5434 2019-05-20
1851835839 Gracen Kate Miller Specialist/Technologist 1900 Aldersgate Rd, Little Rock, AR 72205-6620 2016-12-12
1619337235 Jill Mills Specialist/Technologist 708 E Dixon Rd, Little Rock, AR 72206-4114 2016-02-24
1477912376 Rebecca Hupp Specialist/Technologist 708 E Dixon Rd, Little Rock, AR 72206-4114 2016-02-19
1942669411 Sarah Baxter Specialist/Technologist 708 E Dixon Rd, Little Rock, AR 72206-4114 2016-02-12
1104299080 Nicole Bailey Specialist/Technologist 10515 W Markham St, E-1, Little Rock, AR 72205-2297 2015-11-02
Find all providers in LITTLE ROCK

Competitor

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City LITTLE ROCK
Zip Code 72205

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Dataset Information

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.

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