SHELBY LORD (NPI# 1548817018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548817018 |
| Entity Type | Individual |
| Full Name | SHELBY LORD |
| Practice Address |
8724 Windsor Rd Windsor CA 95492-9512 |
| Mailing Address |
2447 Summerfield Rd Santa Rosa CA 95405-7815 |
| Practice Telephone | 7074956356 |
| Mailing Telephone | 7075443299 |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2019-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
8724 WINDSOR RD |
| City | WINDSOR |
| State | CA |
| Zip Code | 95492-9512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235368572 | Kelly Vanzutphen | Clinical Neuropsychologist | 9940 Starr Rd., Ste 140, Windsor, CA 95492 | 2009-07-08 |
| 1932315934 | Charles Henry Aikawa | Dentist | 8741 Brooks Road South Ste 201, Windsor, CA 95492 | 2007-05-15 |
| 1417025701 | Barbara W Franzen | Family Medicine | 404 Gordon Ct, Windsor, CA 95492 | 2006-12-02 |
| 1780768382 | Joyce Yu Chang | Dentist | 8886 Lakewood Dr, Windsor, CA 95492 | 2006-10-24 |
| 1477564946 | Jamila M Benn | Family Medicine | 8465 Old Redwood Hwy Ste 320, Windsor, CA 95492 | 2006-08-10 |
| 1538173141 | Elizabeth Flower | Family Medicine | 6580 Hembree Ln Ste 270, Windsor, CA 95492 | 2006-07-28 |
| 1093785826 | Windsor Primary Care Medical Group Inc | Family Medicine | 8465 Old Redwood Hwy, #320, Windsor, CA 95492 | 2006-01-24 |
| 1093288995 | Elizabeth Vasquez Quiroz | Counselor | 3555 Sonoma Hwy, Santa Rosa, CA 95492 | 2019-01-03 |
| 1336488071 | Jennifer L Price | Chiropractor | 8499 Old Redwood Hwy, Suite 204, Windsor, CA 95492 | 2013-01-31 |
| 1104163815 | Rael Bernstein Dds Apc | Dentist | 8741 Brooks Rd S, Windsor, CA 95492 | 2013-01-15 |
| Find all providers in zip 95492 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275086878 | Melissa Londono Connally | Student in an Organized Health Care Education/Training Program | 1620 Kelmsley Ct, Windsor, CO 80550-5834 | 2016-07-31 |
| 1093189136 | Patrick Sponzo | Student in an Organized Health Care Education/Training Program | 7 Sage Park Rd, Windsor, CT 06095-3327 | 2015-11-29 |
| 1245495548 | Tonya D Alexander | Student in an Organized Health Care Education/Training Program | 11381 Lena Rose St, Windsor, VA 23487 | 2008-07-25 |
| 1538327812 | Manjit Kirti Shah | Student in an Organized Health Care Education/Training Program | 1357 Stoneybrook Court, Windsor, ONTARIO N9G2Z2 | 2008-05-23 |
| 1548714298 | Katrina Marshall | Student in an Organized Health Care Education/Training Program | 995 Day Hill Rd, Windsor, CT 06095-1722 | 2016-08-11 |
| 1265806665 | Jessy Carmichael | Student in an Organized Health Care Education/Training Program | 995 Day Hill Rd, Windsor, CT 06095-1722 | 2015-11-23 |
| 1891163127 | Boris Enowitch | Student in an Organized Health Care Education/Training Program | 995 Day Hill Rd, Windsor, CT 06095-1722 | 2015-09-03 |
| 1144698473 | Mary Kay Kittredge | Student in an Organized Health Care Education/Training Program | 995 Day Hill Rd, Windsor, CT 06095-1722 | 2015-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679741 | Krista Lapidario | Student in an Organized Health Care Education/Training Program | 18602 Kings Row Ave, Cerritos, CA 90703-8048 | 2020-11-04 |
| 1548861818 | Masara Issa | Student in an Organized Health Care Education/Training Program | 2261 Runabout Pl, El Cajon, CA 92019-4250 | 2020-11-03 |
| 1245830736 | Khalid Bey | Student in an Organized Health Care Education/Training Program | 1st Dnbn Attn: Credentials 555221, Camp Pendleton, CA 92055-5221 | 2020-10-26 |
| 1538768221 | Judith Guarneros | Student in an Organized Health Care Education/Training Program | 47 Rogers Rd, Kernville, CA 93238-6021 | 2020-10-22 |
| 1174122048 | Vivian M. Arredondo | Student in an Organized Health Care Education/Training Program | 22656 Lark St, Grand Terrace, CA 92313-5714 | 2020-10-22 |
| 1861091621 | Kristen N Brauchler | Student in an Organized Health Care Education/Training Program | 2098 Cabot Ave, Merced, CA 95348-4023 | 2020-10-22 |
| 1215536206 | Marissa Burton | Student in an Organized Health Care Education/Training Program | 1759 Queenstown Dr, San Jose, CA 95132-1755 | 2020-10-21 |
| 1447859533 | Brooke Edelson | Student in an Organized Health Care Education/Training Program | 21 Waverley Ct Apt 4, Menlo Park, CA 94025-3551 | 2020-10-20 |
| 1891394987 | Shannon Shen | Student in an Organized Health Care Education/Training Program | 190 Ryland St Apt 3422, San Jose, CA 95110-2295 | 2020-10-20 |
| 1164020657 | Corinne Elizabeth Zachry | Student in an Organized Health Care Education/Training Program | 1149 S Hill St # H375, Los Angeles, CA 90015-2212 | 2020-10-15 |
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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.