KAITLYN MARIE SHELTON (NPI# 1295365377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295365377 |
Entity Type | Individual |
Full Name | KAITLYN MARIE SHELTON |
Credential | PA-C |
Practice Address |
1601 Brenner Ave Salisbury NC 28144-2515 |
Mailing Address |
1331 W Morehead St Apt 220 Charlotte NC 28208-5371 |
Practice Telephone | 7046389000 |
Enumeration Date | 2020-01-17 |
Last Update Date | 2020-01-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1601 BRENNER AVE |
City | SALISBURY |
State | NC |
Zip Code | 28144-2515 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417953423 | Benjamin W Reese | Family Medicine | 1601 Brenner Ave, 11a W.g. Bill Hefner Medical Center, Salisbury, NC 28144 | 2005-06-23 |
1508467028 | Nicolas Hunter Johnson | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-11-02 |
1174123558 | Demarcus Swain Steele | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-27 |
1053911578 | Michelle Wilson | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-26 |
1750980231 | Airington Tribble | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-26 |
1467051946 | Whitney Mickens | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-26 |
1134728611 | Matthew Agner | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-26 |
1225637804 | Jackie Meggett | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-23 |
1831798578 | Brittany Plummer | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-23 |
1184223810 | Aleashia H Brandon | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679059364 | Lisbet Lopez Cherniavsky | Dentist | Salisbury Family Dentistry, 140 Mahaley Ave, Salisbury, NC 28144 | 2018-07-16 |
1386140945 | Rowan Regional Medical Center, Inc. | Hospice Care, Community Based | 1229 Statesville Blvd, Salisbury, NC 28144 | 2018-04-03 |
1184142713 | Ally Home Care Salisbury, LLC | In Home Supportive Care | 301 S Main St Suite 120, Salisbury, NC 28144 | 2017-09-04 |
1700236676 | Phase II Transportation Inc | Ambulance | 109 S Mccoy Rd, Salisbury, NC 28144 | 2016-06-21 |
1043677727 | Concepts of Independence LLC. | Residential Treatment Facility, Emotionally Disturbed Children | 530 E. Fisher Street, Salisbury, NC 28144 | 2016-01-26 |
1801279138 | Tara Puma | Speech-Language Pathologist | 1630 Bellevue Rd, Salisbury, NC 28144 | 2015-07-06 |
1285012534 | Stephanie Georgia Pierce | Counselor | 714 South Main Street, S&h Youth and Adult Services, Inc., Salisbury, NC 28144 | 2015-05-07 |
1598177248 | Jeffrey Carter | Counselor | 107 W Cemetary St., Salisbury, NC 28144 | 2014-05-29 |
1659631786 | Mary Frances Miller | Nurse Practitioner | 1601 Brenner Avenue Endocrinology Bldg(21), Us Dept. of Veteran Affairs W.g.(bill)hefner Bldg, Salisbury, NC 28144 | 2012-05-23 |
1699041244 | Matthew Lewis Marshburn | Specialist/Technologist | 605 Grove Street, Salisbury, NC 28144 | 2012-03-28 |
Find all providers in zip 28144 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558834234 | Kevin Timothy Johnson | Physician Assistant | 411 Naylor Mill Rd, Salisbury, MD 21801-1191 | 2019-01-06 |
1225583693 | Benjamin Gogg | Physician Assistant | 3103 Grandeur Dr, Salisbury, NC 28146-1618 | 2016-08-16 |
1114381449 | Courtney Mishler | Physician Assistant | 1821 Sweetbay Dr # 1, Salisbury, MD 21804-1664 | 2016-04-13 |
1720214919 | Heesung Sean Kim | Physician Assistant | 106 Pine Bluff Rd Ste 11, Salisbury, MD 21801-7161 | 2009-06-02 |
1275791147 | Vincent Walter Lewis | Physician Assistant | 1324 Belmont Ave Ste 103, Salisbury, MD 21804-4543 | 2008-05-28 |
1346727351 | Kathryn M Melore | Physician Assistant | 100 E Carroll St, Salisbury, MD 21801-5422 | 2018-07-23 |
1639619224 | Lewis Primary Care, P.a. | Physician Assistant | 1324 Belmont Ave, Unit 103, Salisbury, MD 21804-4584 | 2017-03-01 |
1245778182 | Nicole Graham | Physician Assistant | 1401 W Innes St, Salisbury, NC 28144-2574 | 2017-02-10 |
1508223108 | Lawrence Tawiah | Physician Assistant | 951 Mount Hermon Rd, Salisbury, MD 21804-5159 | 2016-01-27 |
1427420884 | Brian Austin Delgreco | Physician Assistant | 100 E Carroll St, Salisbury, MD 21801-5493 | 2015-10-26 |
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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.