MS. SHELLIE DETTWEILER (NPI# 1285982538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285982538 |
| Entity Type | Individual |
| Full Name | MS. SHELLIE DETTWEILER |
| Credential | RN |
| Practice Address |
3855 Sw 120th St Augusta KS 67010-7758 |
| Practice Telephone | 3167756237 |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WE0003X |
Registered Nurse Specialization: Emergency |
81079 | KS | Nursing Service Providers |
| Street Address |
3855 SW 120TH ST |
| City | AUGUSTA |
| State | KS |
| Zip Code | 67010-7758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407372444 | Kali Lauren Taylor | Pharmacist | 509 State Street, Augusta, KS 67010 | 2017-08-22 |
| 1952703068 | Connie Patten | Case Manager/Care Coordinator | 2821 Brookside Dr., Augusta, KS 67010 | 2014-09-19 |
| 1427461011 | Abby Bryan | Contractor | 6 Flanigan, Augusta, KS 67010 | 2014-06-11 |
| 1811252919 | Vicky T Kramer | Nurse Practitioner | 15707 Sw Us Hwy 77, Augusta, KS 67010 | 2012-07-05 |
| 1982816732 | Grene Vision Group LLC | Ophthalmology | 706 E Smiles, Augusta, KS 67010 | 2007-05-04 |
| 1205935384 | Patrick J Carman | Chiropractor | 517 State St, Augusta, KS 67010 | 2006-09-22 |
| 1114968047 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 1510 Ohio St, Augusta, KS 67010 | 2006-06-10 |
| 1154806552 | Hilary Alexandra Clark | Psychologist | 2821 Brookside Dr., Augusta, KS 67010 | 2018-10-01 |
| 1366845885 | Karly Klarisse Ross | Case Manager/Care Coordinator | 2821 Brookside Ct, Augusta, KS 67010 | 2014-09-29 |
| 1013319649 | Carla Morrow | Counselor | 2821 Brookside Ct, Augusta, KS 67010 | 2014-09-26 |
| Find all providers in zip 67010 | ||||
| Taxonomy Code | 163WE0003X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Emergency |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972096915 | Brittany Elizabeth Shaw | Registered Nurse | 1 Freedom Way, Augusta, GA 30904-6258 | 2018-06-13 |
| 1548773989 | Rebecca Garcia | Registered Nurse | 3651 Wheeler Rd, Augusta, GA 30909-6521 | 2017-11-07 |
| 1649531849 | Theresa Worcester | Registered Nurse | 6 E Chestnut St, Augusta, ME 04330-5717 | 2012-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669081345 | Kristi Harbit | Registered Nurse | 1494 Ivory Rd, Redfield, KS 66769-9572 | 2020-07-28 |
| 1528683042 | Nicole Chapell | Registered Nurse | 15280 Lynn Rd, Leavenworth, KS 66048-8385 | 2020-06-10 |
| 1700426368 | Janet Warkentine | Registered Nurse | 811 29th Street, Wilson, KS 67490 | 2020-01-13 |
| 1083047013 | Ashley Lunkenheimer | Registered Nurse | 2008 N Woodlawn Blvd, Derby, KS 67037-3129 | 2013-08-13 |
| 1477723989 | Jack W Kranz | Registered Nurse | 6706 E Castleton Rd, Haven, KS 67543-8552 | 2008-03-11 |
| 1790969160 | Colin James Gransbery | Registered Nurse | 7526 Norwood St, Prairie Village, KS 66208-3646 | 2007-12-20 |
| 1093725905 | Lisa Anne Koch | Registered Nurse | 848 N Saint Francis St Ste 2945, Wichita, KS 67214-3856 | 2006-08-09 |
| 1174132625 | Katie Nicole Crossland | Registered Nurse | 320 N 13th St, Wakeeney, KS 67672-2002 | 2020-07-29 |
| 1578180907 | Kaylee Harris | Registered Nurse | 605 N Main St, Ellinwood, KS 67526-1440 | 2020-07-01 |
| 1386267334 | Melissa Wanda Ma-heiman | Registered Nurse | 8714 W 13th St N, Wichita, KS 67212-6221 | 2020-05-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. SHELLIE DETTWEILER.
| 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.