AMY SHACKELFORD (NPI# 1649609165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649609165 |
| Entity Type | Individual |
| Full Name | AMY SHACKELFORD |
| Practice Address |
1703 60th St Kenosha WI 53140-3986 |
| Practice Telephone | 2626584125 |
| Mailing Telephone | 2626584125 |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2013-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | 1570-19 | WI | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689074999 | Amy Carol Shackelford | Physical Therapist | 1250 S A W Grimes Blvd, Round Rock, TX 78664-7429 | 2014-08-25 |
| Street Address |
1703 60TH ST |
| City | KENOSHA |
| State | WI |
| Zip Code | 53140-3986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992752380 | Beverly Enterprises - Wisconsin Inc | Skilled Nursing Facility | 1703 60th St, Kenosha, WI 53140-3986 | 2006-05-30 |
| 1063052488 | Elaine Romenesko | Skilled Nursing Facility | 1703 60th St, Kenosha, WI 53140-3986 | 2020-01-14 |
| 1952958951 | Amanda Hornyak | Physical Therapy Assistant | 1703 60th St, Kenosha, WI 53140-3986 | 2019-08-23 |
| 1720559560 | Christian Timothy Puls | Occupational Therapist | 1703 60th St, Kenosha, WI 53140-3986 | 2018-12-05 |
| 1467957134 | Patricia Eleanor Fons | Occupational Therapy Assistant | 1703 60th St, Kenosha, WI 53140-3986 | 2018-03-26 |
| 1740794775 | Becky Verfuerth | Occupational Therapy Assistant | 1703 60th St, Kenosha, WI 53140-3986 | 2017-11-29 |
| 1720509946 | Allison Richards | Speech-Language Pathologist | 1703 60th St, Kenosha, WI 53140-3986 | 2017-06-28 |
| 1194276014 | Beth Nowikowski | Physical Therapy Assistant | 1703 60th St, Kenosha, WI 53140-3986 | 2016-10-14 |
| 1033584511 | Lisa Milczarski | Occupational Therapy Assistant | 1703 60th St, Kenosha, WI 53140-3986 | 2015-12-09 |
| 1205239001 | Jb Kenosha Healthcare LLC | Skilled Nursing Facility | 1703 60th St, Kenosha, WI 53140-3986 | 2014-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225663396 | Lydia Zopf | Counselor | 2001 Alford Park Dr., Carthage College, Kenosha, WI 53140 | 2020-03-09 |
| 1952949406 | Rotate Rehabilitation and Performance | Physical Therapist | 5606 6th Avenue Suite Ll9, Kenosha, WI 53140 | 2019-12-16 |
| 1134778590 | Brenda Chiapetta | Registered Nurse | 3233 23rd Ave, Kenosha, WI 53140 | 2019-09-09 |
| 1275003394 | Kimberly Shaffner | Family Medicine | 4536 22nd Avenue, Kenosha, WI 53140 | 2018-12-01 |
| 1659863389 | Bart L Mengo | Contractor | 1715 60th Street, Kenosha, WI 53140 | 2018-05-30 |
| 1093182941 | Guided Wellness Counseling | Community/Behavioral Health | 1112 56th St, Kenosha, WI 53140 | 2015-08-26 |
| 1376970764 | Stacey L Andersen | Acupuncturist | 5603 7th Ave, Kenosha, WI 53140 | 2013-10-01 |
| 1841467438 | Deborah Schwerdtfeger | Occupational Therapy Assistant | 3415 Sheridan Road, Woodstock Rehab Dept, Kenosha, WI 53140 | 2008-05-13 |
| 1942492020 | Rebecca Ann Burdette | Counselor | 920 60th Street, Renosha, WI 53140 | 2007-08-13 |
| 1851598619 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2707 15th Place, Kenosha, WI 53140 | 2007-06-27 |
| Find all providers in zip 53140 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609692 | Tanya Rosenthal | Health Educator | W4991 Wege Rd, Appleton, WI 54913-8354 | 2020-11-08 |
| 1205461068 | Judith Gail Hahn | Health Educator | 2336 W Green Tree Road, Glendale, WI 53209-2704 | 2020-03-11 |
| 1467003665 | Erika Chavez | Health Educator | 1313 E Randolph Ct Apt D, Milwaukee, WI 53212-1857 | 2019-09-28 |
| 1285280156 | Tonia M Davis | Health Educator | 8139 W Custer Ave, Milwaukee, WI 53218-3533 | 2019-08-15 |
| 1154983500 | Amy Lynn Lewis | Health Educator | 5299 Easy St, Waunakee, WI 53597-9767 | 2019-07-06 |
| 1023670049 | Michelle Uetz | Health Educator | 370 County Road U, River Falls, WI 54022-8268 | 2019-06-29 |
| 1568921278 | Sword Health Inc | Health Educator | 1020 North Broadway, Milwaukee, WI 53202 | 2019-03-13 |
| 1518449040 | Gina Trampe | Health Educator | 705 Village Green Way Unit 201, West Bend, WI 53090-2528 | 2018-08-31 |
| 1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
| 1679065593 | Young Men's Christian Association of Metropolitan Milwaukee, Inc. | Health Educator | 161 West Wisconsin Avenue, Suite 4000, Milwaukee, WI 53203-2601 | 2018-06-06 |
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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.