SHELLEY AMBER RICHARDS (NPI# 1720396872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720396872 |
| Entity Type | Individual |
| Full Name | SHELLEY AMBER RICHARDS |
| Credential | PA-C |
| Practice Address |
2 Chateau Grove Ln Barboursville WV 25504-1626 |
| Mailing Address |
Po Box 4009 Charleston WV 25364-4009 |
| Practice Telephone | 3047369662 |
| Practice Fax Number | 3047330079 |
| Mailing Telephone | 3049261691 |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2019-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
01513 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 1720396872 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1418 Maccorkle Ave Sw Ste A, Charleston, WV 253031331 | 3043481288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346308293 | Shelley Ann Richards | Counselor | 200 Edmonds Rd, Redwood City, CA 94062-3813 | 2006-12-04 |
| 1376570838 | Shelley M Richards | Optometrist | 445 W Poplar St, Stockton, CA 95203-2426 | 2006-06-28 |
| Street Address |
2 CHATEAU GROVE LN |
| City | BARBOURSVILLE |
| State | WV |
| Zip Code | 25504-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851741375 | Melissa Thompson | Social Worker | 2 Chateau Grove Ln, Barboursville, WV 25504-1626 | 2016-06-15 |
| 1629489356 | Tiffany J Pittman | Counselor | 2 Chateau Grove Ln, Barboursville, WV 25504 | 2014-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143115 | Jeff Thomas Slone | Technician | 3350 Holland Creek Road, Barboursville, WV 25504 | 2020-10-30 |
| 1134679061 | Ryan Young | Pharmacist | 6350 Us Route 60 East, Barboursville, WV 25504 | 2016-10-04 |
| 1447706361 | Jennifer M Bruce | Nurse Anesthetist, Certified Registered | 5840 Davis Creek Rd. Suite E, Barboursville, WV 25504 | 2016-08-31 |
| 1528447794 | Susan Berry | Licensed Practical Nurse | 1 Ohanlon Place, Barboursville, WV 25504 | 2015-05-21 |
| 1902209067 | Eric W Kutcher | Nurse Anesthetist, Certified Registered | 5840 Davis Creek Road Suite E, Barboursville, WV 25504 | 2014-10-03 |
| 1275940843 | Alex G Smith | Nurse Anesthetist, Certified Registered | 5840 Davis Creek Road, Suite E, Barboursville, WV 25504 | 2014-07-16 |
| 1225451297 | Carol Newlon | Counselor | 689 Central Avenue, Barboursville, WV 25504 | 2014-01-28 |
| 1598003386 | Amy E Crabtree | Pharmacist | 6414 Us 60 East, Barboursville, WV 25504 | 2013-01-29 |
| 1538428669 | Amy Beth Cope | Physician Assistant | 6171 Childers Road, Barboursville, WV 25504 | 2012-05-09 |
| 1508167867 | Tara J. Robinson | Dermatology | 6007 U.S.rt 60 E., Suite 130, Barboursville, WV 25504 | 2010-11-03 |
| Find all providers in zip 25504 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750574968 | Denise Lynn Chambers | Physician Assistant | 143 Peyton St, Barboursville, WV 25504-2063 | 2007-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386270908 | Bonnie Lynn Blackburn | Physician Assistant | 10 Amalia Dr Ste C5, Buckhannon, WV 26201-2270 | 2020-03-15 |
| 1922638824 | Sara B Johnson | Physician Assistant | 1000 Mon Health Medical Park Dr Ste 1100, Morgantown, WV 26505-1143 | 2020-01-19 |
| 1659835072 | Kristen Nicole Williams | Physician Assistant | 26 Portsmouth Ct N, Falling Waters, WV 25419-1430 | 2019-01-30 |
| 1629588876 | Robert Theodore Hartman | Physician Assistant | 620 National Rd Ste 300, Wheeling, WV 26003-6560 | 2017-10-02 |
| 1366967986 | Terri Leanne Belcher | Physician Assistant | 395 Emily Dr, Clarksburg, WV 26301-5505 | 2017-08-04 |
| 1760937056 | Ryan Aston | Physician Assistant | 58 16th St Fl 4, Wheeling, WV 26003-3660 | 2016-08-17 |
| 1821470113 | Lesley E. Weiss | Physician Assistant | 3200 Maccorkle Seave, Charleston, WV 25304-1227 | 2015-06-23 |
| 1891197323 | Rachelle Lyle Stewart | Physician Assistant | 1500 Terrace St Ste 105, Hinton, WV 25951-9768 | 2014-09-16 |
| 1285043224 | Sarah Gutman Brammer | Physician Assistant | 30 Medical Park Ste 211, Wheeling, WV 26003-6391 | 2014-08-04 |
| 1841603529 | Timothy Douglas | Physician Assistant | 4202 Mccorkle Ave Sw Ste 200, South Charleston, WV 25309-1513 | 2014-06-10 |
| Find all providers with the same taxonomy | ||||
| City | BARBOURSVILLE |
| Zip Code | 25504 |
Please comment or provide details below to improve the information on SHELLEY AMBER RICHARDS.
| 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.