SHELLEY LEE EVERLY (NPI# 1588784821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588784821 |
| Entity Type | Individual |
| Full Name | SHELLEY LEE EVERLY |
| Credential | M.D. |
| Practice Address |
519 N. Leroux Street Flagstaff AZ 86001 |
| Practice Telephone | 9282148800 |
| Mailing Telephone | 9282148800 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
28385 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
519 N. LEROUX STREET |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881257970 | Wellpsyche Scottsdale PC | Psychiatry & Neurology | 7150 E Camelback Rd Ste 422, Scottsdale, AZ 85251-1200 | 2019-04-15 |
| 1699296574 | Sandra M Zebrowski | Psychiatry & Neurology | 4350 E Cotton Center Blvd Ste 100, Suite 100, Phoenix, AZ 85040-8852 | 2017-06-30 |
| 1083099170 | Lois G Mclean | Psychiatry & Neurology | 77 Old Highway 188, Unit 130, Tonto Basin, AZ 85553-9996 | 2015-07-30 |
| 1780070805 | Carolyn Powers Wiersma | Psychiatry & Neurology | Us Highway 191 & Hospital Road, Chinle, AZ 86503 | 2015-04-15 |
| 1598164675 | Focus Therapeutics, LLC | Psychiatry & Neurology | 6835 East Camelback Road, Suite B13, Scottsdale, AZ 85251 | 2014-08-14 |
| 1700164399 | Ricardo Angelo Manganaro | Psychiatry & Neurology | 5801 S Rural Rd, Tempe, AZ 85283-2901 | 2011-07-30 |
| 1780979740 | Roberto I. Bracamonte, M.d., P.C. | Psychiatry & Neurology | 3550 E Pinchot Ave, Building B, Phoenix, AZ 85018-7434 | 2011-06-17 |
| 1306016258 | Andrew T. Haber | Psychiatry & Neurology | 5930 E Stella Ln, Paradise Valley, AZ 85253-4276 | 2008-03-06 |
| 1619164829 | Alfredo C. Ramirez, Md Pllc | Psychiatry & Neurology | 8684 E Semple Street, Tucson, AZ 85747 | 2007-10-02 |
| 1174749535 | John I. Maurer | Psychiatry & Neurology | Po Drawer Ph, Chinle, AZ 86503 | 2007-04-17 |
| Find all providers with the same taxonomy | ||||
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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.