MRS. SHELLY JEANNE NORMAN (NPI# 1871576876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871576876 |
| Entity Type | Individual |
| Full Name | MRS. SHELLY JEANNE NORMAN |
| Credential | ARNP |
| Practice Address |
1270 Sw William Ave Chehalis WA 98532-4730 |
| Mailing Address |
112 Mines Rd Winlock WA 98596-9539 |
| Practice Telephone | 3607488814 |
| Practice Fax Number | 9253642279 |
| Mailing Telephone | 3605204795 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2015-01-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP30005011 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LX0106X |
Nurse Practitioner Specialization: Occupational Health |
AP30005011 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9623976 | 05 |
| Street Address |
1270 SW WILLIAM AVE |
| City | CHEHALIS |
| State | WA |
| Zip Code | 98532-4730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952686362 | Brooke Ann Briggs | Massage Therapist | 1270 Sw William Ave, Chehalis, WA 98532-4730 | 2011-10-17 |
| 1972825933 | Sara Jacqueline Webb | Massage Therapist | 1270 Sw William Ave, Chehalis, WA 98532-4730 | 2010-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275140832 | Joshua Russell Wachter | Registered Nurse | 275 W. Vine St., Napavine, WA 98532 | 2020-09-28 |
| 1891339123 | Dara Casey | Technician | 271-1 Romerman Rd, Chehalis, WA 98532 | 2019-10-30 |
| 1265997704 | April D Bacongco | Counselor | 500 Se Washington St, Chehalis, WA 98532 | 2019-02-08 |
| 1235610155 | Alyssa Dawn Ware | Physical Therapist | 1441 Kresky Ave, Chehalis, WA 98532 | 2018-08-28 |
| 1609365238 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 500 Se Adams Ave, Chehalis, WA 98532 | 2018-05-09 |
| 1043709314 | Kevin Bumatay Duran | Family Medicine | 931 S. Market Blvd, Chehalis, WA 98532 | 2018-05-02 |
| 1164922324 | William I. Mcmillan | Counselor | 121 Nw Chehalis St., Chehalis, WA 98532 | 2018-02-14 |
| 1285155366 | Great Rivers Behavioral Health Organization | Community/Behavioral Health | 57 W Main Street, Suite 260, Chehalis, WA 98532 | 2017-06-29 |
| 1396273637 | Misty Anne Glenn | Counselor | 121 Nw Chehalis Ave, Chehalis, WA 98532 | 2017-05-31 |
| 1841726221 | Dodi Forgione | Counselor | 2401 Ne Kresky Ave Ste D, Chehalis, WA 98532 | 2017-05-04 |
| Find all providers in zip 98532 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356727069 | Elisabeth Anne Hansen | Nurse Practitioner | 2690 Ne Kresky Ave # Ue, Chehalis, WA 98532-2412 | 2015-08-04 |
| 1275917254 | Faith Home Care Practitioners, Pllc | Nurse Practitioner | 34 Ne Boistfort St, Ste. 124, Chehalis, WA 98532-2600 | 2015-07-20 |
| 1861479404 | Quahlee Dolores Lassila | Nurse Practitioner | 158 Leudinghaus Rd, Chehalis, WA 98532-9244 | 2005-12-24 |
| 1386258697 | Teresa Jo Ekdahl-johnson | Nurse Practitioner | 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 | 2020-09-03 |
| 1720605678 | Rainey Celene Banick Wood | Nurse Practitioner | 28 Sw Chehalis Ave, Chehalis, WA 98532-1933 | 2020-06-26 |
| 1447711833 | Sheila Dawn Spears | Nurse Practitioner | 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 | 2019-03-27 |
| 1861950388 | Lura O'connor | Nurse Practitioner | 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 | 2019-03-04 |
| 1457861114 | Molly Smith | Nurse Practitioner | 1299 Bishop Rd, Chehalis, WA 98532-8758 | 2017-10-09 |
| 1629518113 | Heather Dawn Novak | Nurse Practitioner | 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 | 2017-03-02 |
| 1821534801 | Amber L Gauthier | Nurse Practitioner | 931 S Market Blvd, Chehalis, WA 98532 | 2017-01-13 |
| Find all providers in CHEHALIS | ||||
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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.