SHELLY PETRY


Address: 220 West Willow Street, Building A, Lafayette, LA 70501
Phone: 3372625616

SHELLY PETRY (NPI# 1396008843) 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) 1396008843
Entity Type Individual
Full Name SHELLY PETRY
Credential RN
Practice Address 220 West Willow Street
Building A
Lafayette
LA 70501
Mailing Address 220 W. Willow St.
Bldg.a
Lafayette
LA 70501
Practice Telephone 3372625616
Practice Fax Number 3372621310
Mailing Telephone 3372625616
Mailing Fax Number 3372621310
Enumeration Date 2012-06-20
Last Update Date 2016-07-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC1500X Registered Nurse
Specialization: Community Health
RN082564 LA Nursing Service Providers

Office Location

Street Address 220 WEST WILLOW STREET
BUILDING A
City LAFAYETTE
State LA
Zip Code 70501

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NPI Name Taxonomy Address Enumeration
1326646134 Gifted Hands Caregiver Home Health Aide 213 Grimsby St., Fafayette, LA 70501 2020-10-14
1740888551 Complete Count LLC Home Health 713 South Orange St, Lafayette, LA 70501 2020-10-14
1154891471 Lesha May Case Manager/Care Coordinator 113 W Covent St, Lafayette, LA 70501 2018-11-29
1871023994 Nancy Bass Texada Community/Behavioral Health 525 South Buchanan, Lafayette, LA 70501 2017-06-13
1447706700 Medicine Bin Plus LLC Pharmacy 1105 West Willow St, Lafayette, LA 70501 2016-08-28
1508227968 Vicky Marie Senegal Home Health Aide 304 1/2 Rubria St., Lafayette, LA 70501 2016-03-14
1558766931 Corey Gerard Porche Counselor 708 Jefferson Blvd., Lafayette, LA 70501 2014-10-28
1518362219 Sherry Riddle Counselor 119 Caillouet Place, Lafayette, LA 70501 2014-10-24
1285057893 Hearsts of Hope Counselor 911 General Mouton Avenue, Lafayette, LA 70501 2014-02-03
1437408549 Jensen J. Bergeron Counselor 600 Jefferson Street Suite 903, Lafayette, LA 70501 2012-09-05
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Taxonomy Information

Taxonomy Code 163WC1500X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659633584 Marvida Gonsoulin-harris Registered Nurse 220 W Willow St # A, Lafayette, LA 70501-2837 2012-06-15
1871630012 Cheryl Louise Turner Registered Nurse 220 W Willow St Bldg A, Lafayette, LA 70501-2837 2007-01-30
1497386817 Tracy Luttrell Registered Nurse 1107 Wilson St, Lafayette, OR 97127-9199 2020-02-04
1861956369 Stephanie A Boyne Registered Nurse 220 W Willow St Bldg A, Lafayette, LA 70501-2837 2019-01-29
1700363884 Vallerie Robinson James Registered Nurse 106 Heymann Blvd, Lafayette, LA 70503-2322 2018-07-23
1386143774 Christi Gay Kelly Registered Nurse 1701 S Creasy Ln, Lafayette, IN 47905-4972 2018-02-12
1891232039 Lucette Boudreaux Registered Nurse 220 W Willow St Bldg A, Lafayette, LA 70501-2837 2017-01-26
1902278633 Katie Barilleaux Burleigh Registered Nurse 220 W Willow St Bldg A, Lafayette, LA 70501-2837 2015-10-21
1144626573 Bree Sanchez Registered Nurse 220 W Willow St, Bldg A, Lafayette, LA 70501-2837 2014-11-12
1891117685 Marie Shirley Martin Registered Nurse 220 W Willow St, Bldg A, Lafayette, LA 70501-2837 2014-01-13
Find all providers in LAFAYETTE

Competitor

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City LAFAYETTE
Zip Code 70501

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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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