MRS. SHELLEY CARTER (NPI# 1649530924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649530924 |
| Entity Type | Individual |
| Full Name | MRS. SHELLEY CARTER |
| Practice Address |
2436 Pembroke Ave Fredericksburg IA 50630-9499 |
| Practice Telephone | 4025151419 |
| Mailing Telephone | 4025151419 |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760492060 | Shelley Nicole Carter | Social Worker | 300 E Hospital Rd, Bldg 300, Fort Gordon, GA 30905-5650 | 2006-08-09 |
| 1376072694 | Shelley L Carter | Registered Nurse | 640 E Cherry St, Springfield, MO 65897-3402 | 2017-06-09 |
| 1225173495 | Shelley A. Carter | Marriage & Family Therapist | 380 Suwannee Trail Street, Bowling Green, KY 42103 | 2007-02-21 |
| Street Address |
2436 PEMBROKE AVE |
| City | FREDERICKSBURG |
| State | IA |
| Zip Code | 50630-9499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154463081 | Chickasaw Ambulance Service Inc | Ambulance | 121 Buckeye Street, Fredericksburg, IA 50630 | 2007-02-14 |
| 1205838687 | Steven William Horak | Chiropractor | 111 West Main Street, Fredericksburg, IA 50630 | 2005-08-15 |
| 1447582390 | Pathways Behavioral Services Inc | Community/Behavioral Health | 602 S Washington Ave, Fredericksburg, IA 50630-1003 | 2010-02-03 |
| 1396376414 | Molly Barbara Demuth | Counselor | 602 S Washington Ave, Fredericksburg, IA 50630-1003 | 2020-01-28 |
| 1942611751 | Lacey Schmitt | Counselor | 602 S Washington Ave, Fredericksburg, IA 50630-1003 | 2014-05-14 |
| 1922320084 | Pathways Behavioral Services Inc | Substance Abuse Rehabilitation Facility | 602 S Washington Ave, Fredericksburg, IA 50630-1003 | 2010-02-17 |
| 1033438809 | Jillian Jolley | Doula | 205 S Washington Ave, Fredericksburg, IA 50630-1036 | 2010-05-19 |
| 1386811321 | Laurie Danae Thein | Counselor | 123 E Main St, Fredericksburg, IA 50630-7701 | 2008-05-09 |
| 1184808081 | Fredericksburg Comm School District | Local Education Agency (LEA) | 401 E High St, Fredericksburg, IA 50630-7730 | 2007-12-27 |
| 1326248402 | Amber Rose Suckow | Specialist/Technologist | 2865 Newell Ave, Fredericksburg, IA 50630-9515 | 2007-07-18 |
| Find all providers in zip 50630 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians. |
| Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548586878 | Paul Robert King | Military Health Care Provider | 2190 27th St, Marion, IA 52302-1611 | 2010-04-12 |
| City | FREDERICKSBURG |
| Zip Code | 50630 |
Please comment or provide details below to improve the information on MRS. SHELLEY CARTER.
| 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.