SHELLY R CARTWRIGHT (NPI# 1740677582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740677582 |
| Entity Type | Individual |
| Full Name | SHELLY R CARTWRIGHT |
| Credential | CNP |
| Practice Address |
3707 Doty Rd Ste D Woodstock IL 60098 |
| Mailing Address |
3707 Doty Rd Ste D Woodstock IL 60098-7530 |
| Practice Telephone | 8153386600 |
| Practice Fax Number | 8152062802 |
| Mailing Telephone | 8153386600 |
| Mailing Fax Number | 8152062802 |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2018-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 209012776 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209012776 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | APN LICENSE | 209012776 | 01 |
| IL | RN LICENSE NUMBER | 041405084 | 01 |
| Street Address |
3707 DOTY RD STE D |
| City | WOODSTOCK |
| State | IL |
| Zip Code | 60098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093763120 | Karen Judy | Internal Medicine | 3707 Doty Rd Ste D, Woodstock, IL 60098 | 2006-05-04 |
| 1538119300 | Marcel T Hoffman | Internal Medicine | 3707 Doty Rd Ste D, Woodstock, IL 60098 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083197453 | Abb Dental Group LLC | Dentist | 11585 Us 14, Woodstock, IL 60098 | 2018-09-12 |
| 1396256467 | Gezelle Adams | Social Worker | 1200 Walden Oaks Dr, Woodstock, IL 60098 | 2017-10-17 |
| 1861910721 | Letitia Susan Edgell | Technician | 503 Lawndale Ave., Woodstock, IL 60098 | 2017-08-31 |
| 1104355460 | Jessica Evertsen | Doula | 435 Laurel Ave, Woodstock, IL 60098 | 2017-06-08 |
| 1871026724 | Bo Yeon Bartilotta | Dentist | 11585 Us-14, Woodstock, IL 60098 | 2017-04-07 |
| 1619337185 | Julia Karibian | Community Health Worker | 2983 Strauss Court, Woodstock, IL 60098 | 2016-02-26 |
| 1407249170 | Julia Bonti | Counselor | 13318 Hickory Ln, Woodstock, IL 60098 | 2015-03-05 |
| 1427485580 | Sara E Smedinghoff | Physical Therapy Assistant | 708 Washington Street, Woodstock, IL 60098 | 2013-10-03 |
| 1669721783 | Robert Eugene Haraden | Dentist | 651 S. Eastwood Dr, Woodstock, IL 60098 | 2012-09-05 |
| 1831447440 | Carla Peltier | Social Worker | 101 South Jefferson Street, Woodstock, IL 60098 | 2012-08-29 |
| Find all providers in zip 60098 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952927493 | Lauren Galbraith Agee | Nurse Practitioner | 900 Towne Lake Pkwy Ste 104, Woodstock, GA 30189-1603 | 2020-06-21 |
| 1922620798 | Brandy Bentley | Nurse Practitioner | 9670 Main St, Woodstock, GA 30188-3916 | 2020-05-14 |
| 1609407600 | Holly Caroline Walsh | Nurse Practitioner | 325 Alcovy Way, Woodstock, GA 30188-3329 | 2020-01-29 |
| 1366095135 | Stephanie Fagbemi | Nurse Practitioner | 295 Molly Ln Ste A101, Woodstock, GA 30189-3760 | 2019-07-22 |
| 1497244875 | Tarsha Chamaine Kennedy | Nurse Practitioner | 400 Sycamore Ln Apt 302, Woodstock, GA 30188-7318 | 2018-05-01 |
| 1598267437 | Kelly Sierra | Nurse Practitioner | 100 Stoneforest Dr Ste 300, Woodstock, GA 30189 | 2018-03-07 |
| 1912407719 | Qrc 360 Enterprises | Nurse Practitioner | 12195 Highway 92 Ste 144, Woodstock, GA 30188-3603 | 2018-02-19 |
| 1942700729 | Jiwon Yoo | Nurse Practitioner | 310 Gold Creek Trl Ste 200, Woodstock, GA 30188-5436 | 2018-02-18 |
| 1811418650 | Sophia A Kennedy | Nurse Practitioner | 203 Woodpark Pl Ste 102, Woodstock, GA 30188-3705 | 2017-07-02 |
| 1558781534 | Mary Jansson Carmon | Nurse Practitioner | 1000 Towne Lake Pkwy, Woodstock, GA 30189 | 2014-04-17 |
| Find all providers in WOODSTOCK | ||||
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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.