SHELBY SHULL (NPI# 1578160917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578160917 |
| Entity Type | Individual |
| Full Name | SHELBY SHULL |
| Credential | PA |
| Practice Address |
611 W Francis St Ste 160 North Platte NE 69101-0614 |
| Mailing Address |
2334 N 44th St Apt 16 Lincoln NE 68504-3800 |
| Practice Telephone | 3085683500 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2533 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
611 W FRANCIS ST STE 160 |
| City | NORTH PLATTE |
| State | NE |
| Zip Code | 69101-0614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194717413 | Raymond Lionel Carlson | Internal Medicine | 611 W Francis St Ste 160, North Platte, NE 69101-0614 | 2005-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972017523 | Rocky Mountain Holdings, LLC | Ambulance | 5570 E. Lee Bird Drive, Northe Platte, NE 69101 | 2017-11-18 |
| 1396297503 | Karen L Gutherless | Counselor | 401 W Walker Road, North Platte, NE 69101 | 2016-11-04 |
| 1992165898 | Laren Alden Roper Jr. | Occupational Therapist | 1115 S Cottonwood, Great Plains Sports and Therapy Center, North Platte, NE 69101 | 2016-03-04 |
| 1669733085 | Stephanie Lynn Marcy | Anesthesiology | 601 W Leota Street, Anes: Anesthesiology, North Platte, NE 69101 | 2012-06-01 |
| 1033480470 | Wb Counseling LLC | Counselor | 319 E. B St., North Platte, NE 69101 | 2012-01-17 |
| 1306114962 | Amy J Kloess | Occupational Therapist | 8165 North Twin Lakes Rd, North Platte, NE 69101 | 2011-12-09 |
| 1043442312 | Derek Walrod | Dentist | 1225 South Poplar, Suite 500, North Platte, NE 69101 | 2009-08-20 |
| 1033374525 | Millie Erickson | Urology | 611 W. Francis St., Suite 200, North Platte, NE 69101 | 2008-07-23 |
| 1952586331 | West Central District Health Department | Public Health or Welfare | 111 North Dewey Street, North Platte, NE 69101 | 2008-01-04 |
| 1558579698 | Piper Dental Clinic | Dentist | 1919 West A Street, North Platte, NE 69101 | 2007-05-21 |
| Find all providers in zip 69101 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255666111 | Danny Roelfs | Physician Assistant | 2509 Halligan Dr Ste E, North Platte, NE 69101-7858 | 2009-10-12 |
| 1669098687 | Jessie Rose Thorup | Physician Assistant | 601 W Leota St, North Platte, NE 69101-6525 | 2020-06-25 |
| 1053943266 | Meghan Laree Schildt | Physician Assistant | 611 W Francis St Ste 100, North Platte, NE 69101-0614 | 2020-02-05 |
| 1669030094 | Jaleen Marie Greenwood | Physician Assistant | 611 W Francis St, North Platte, NE 69101-0620 | 2019-05-31 |
| 1679047708 | Marisa Adlesich | Physician Assistant | 601 W Leota St, North Platte, NE 69101-6525 | 2019-01-11 |
| 1114418241 | Lisa Elizabeth Kopf | Physician Assistant | 601 W Leota St, North Platte, NE 69101-6525 | 2018-05-24 |
| 1104325323 | Ross Harold Rasmussen | Physician Assistant | 601 W Leota St, North Platte, NE 69101-6525 | 2018-02-02 |
| 1508365735 | Ryan Sowle | Physician Assistant | 601 W Leota St, North Platte, NE 69101-6525 | 2018-02-02 |
| 1306375449 | Tra Thi Thanh Bui | Physician Assistant | 601 W Leota St, North Platte, NE 69101-6525 | 2017-06-11 |
| 1588112528 | Leslie Ann Pecharich | Physician Assistant | 611 W Francis St, Suite 200, North Platte, NE 69101-0620 | 2016-09-20 |
| Find all providers in NORTH PLATTE | ||||
| City | NORTH PLATTE |
| Zip Code | 69101 |
Please comment or provide details below to improve the information on SHELBY SHULL.
| 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.