SHELBY SALLEY BANKS (NPI# 1790189660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790189660 |
| Entity Type | Individual |
| Full Name | SHELBY SALLEY BANKS |
| Other Name | SHELBY GRAHAM SALLEY |
| Credential | FNP |
| Practice Address |
4501 Nelson Rd Unit 2104 Longmont CO 80503-9433 |
| Practice Telephone | 3035071096 |
| Mailing Telephone | 3035071096 |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2020-06-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN.0995592 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790337038 | Shelby Banks | Dietitian, Registered | 4646 John R St, Detroit, MI 48201-1916 | 2019-07-16 |
| Street Address |
4501 NELSON RD UNIT 2104 |
| City | LONGMONT |
| State | CO |
| Zip Code | 80503-9433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073145025 | Home Care Colorado, LLC | In Home Supportive Care | 2919 17th Ave., Suite 215, Longmont, CO 80503 | 2020-02-07 |
| 1639644016 | Katherine and Charles Hover Greenhouses Inc | Skilled Nursing Facility | 1425 Belmont Dr, Longmont, CO 80503 | 2018-10-11 |
| 1467981993 | Donna Faye Georje Mchaney | Nurse Practitioner | 903 Reynolds Farm Lane, Longmont, CO 80503 | 2017-06-08 |
| 1972030161 | Advanced Vision Surgery Center LLC | Clinic/Center | 1390 Dry Creek Drive, Longmont, CO 80503 | 2017-05-18 |
| 1063958338 | Longmont Tc, LLC | Skilled Nursing Facility | 1960 South Fordham St, Longmont, CO 80503 | 2017-01-11 |
| 1710340211 | Rachel A Schreiber | Optometrist | 8900 Prairie Knoll Dr, Longmont, CO 80503 | 2016-04-01 |
| 1427368299 | Sally Anne Thompson | Specialist | 3664 Oakwood Drive, Longmont, CO 80503 | 2010-10-14 |
| 1124357082 | Penny Trevithick | Specialist | 8380 Hygiene Rd, Longmont, CO 80503 | 2009-12-23 |
| 1104155381 | Adrienne R. Leeds | Midwife | 1736 Clover Creek Dr, Longmont, CO 80503 | 2009-12-16 |
| 1003142928 | Sarah Jean Dubbe | Massage Therapist | 1690 Brown Court, Longmont, CO 80503 | 2009-10-28 |
| Find all providers in zip 80503 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962039172 | Christina Pauline Abbott | Nurse Practitioner | 2125 Sicily Cir, Longmont, CO 80503-4187 | 2020-03-26 |
| 1467981993 | Donna Faye Georje Mchaney | Nurse Practitioner | 903 Reynolds Farm Lane, Longmont, CO 80503 | 2017-06-08 |
| 1306149034 | Amy Sharon Rose | Nurse Practitioner | 408 Coffman St, Longmont, CO 80501-5408 | 2010-12-20 |
| 1982863064 | Jennifer L Allison | Nurse Practitioner | 2144 N Main St, Longmont, CO 80501-8402 | 2008-06-04 |
| 1316115728 | Edna Darlene Hughes | Nurse Practitioner | 408 Coffman, Longmont, CO 80501-5408 | 2008-02-19 |
| 1164480281 | Sheila C Kupersmith | Nurse Practitioner | 2017 100 Yearparty Ct Unit 1, Longmont, CO 80504-8483 | 2006-05-01 |
| 1033767744 | Rebekah Harvey | Nurse Practitioner | 2101 Ken Pratt Blvd, Longmont, CO 80501-6567 | 2019-08-27 |
| 1306292511 | Robin Kotula | Nurse Practitioner | 2345 Bent Way, Longmont, CO 80503 | 2016-05-05 |
| 1851760557 | James W Sampson | Nurse Practitioner | 2101 Ken Pratt Blvd Ste 200, Longmont, CO 80501 | 2015-09-23 |
| 1649670811 | Kymbre Sands Governson | Nurse Practitioner | 2130 Mountain View Ave, Suite 300, Longmont, CO 80501-3177 | 2014-08-25 |
| Find all providers in LONGMONT | ||||
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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.