SHELBIE BURDITT (NPI# 1407230683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407230683 |
| Entity Type | Individual |
| Full Name | SHELBIE BURDITT |
| Practice Address |
990 Central Ave Riverside CA 92507-0224 |
| Practice Telephone | 9515004698 |
| Mailing Telephone | 9515004698 |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SPA 2653 | CA | Speech, Language and Hearing Service Providers |
| Street Address |
990 CENTRAL AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507-0224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513904 | Jenifer G Camargo | Specialist/Technologist | 11284 Mountain Ave, Riverside, CA 92505-2633 | 2020-09-16 |
| 1922634344 | Melissa Gonzalez | Specialist/Technologist | 6096 Riverside Ave Apt 23, Riverside, CA 92506-2110 | 2020-03-17 |
| 1417582040 | Erica Wentworth | Specialist/Technologist | 2673 Mangrove Way, Riverside, CA 92506-5127 | 2020-03-04 |
| 1598395915 | Emy Pauline Totemeier | Specialist/Technologist | 5200 Chicago Ave Apt E10, Riverside, CA 92507-5871 | 2020-01-24 |
| 1306496633 | Janethe Ramos | Specialist/Technologist | 4310 Langston Pl, Riverside, CA 92507-5050 | 2019-09-18 |
| 1144885807 | Laura Grace Manimtim | Specialist/Technologist | 4176 Chittenden Cir, Riverside, CA 92509-6867 | 2019-05-07 |
| 1568928539 | Erika Graham | Specialist/Technologist | 8123 Magnolia Ave Apt 47, Riverside, CA 92504-3464 | 2019-02-14 |
| 1790266260 | Mayra Cano | Specialist/Technologist | 10039 Omar St, Riverside, CA 92503-4117 | 2018-08-23 |
| 1386139947 | Emily Gwendolyn Grace Done | Specialist/Technologist | 8584 De Loss Dr, Riverside, CA 92508-2539 | 2018-06-26 |
| 1962990853 | Melinda Lee Loreto | Specialist/Technologist | 4405 Gilchrist Dr, Riverside, CA 92505-9100 | 2018-04-25 |
| Find all providers in RIVERSIDE | ||||
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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.