MRS. JOEY P SHELLY (NPI# 1881831048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881831048 |
| Entity Type | Individual |
| Full Name | MRS. JOEY P SHELLY |
| Credential | RN |
| Practice Address |
80 St Hwy Suite 2 Canton NY 13617 |
| Mailing Address |
Po Box 287 Hannawa Falls NY 13647 |
| Practice Telephone | 3153862325 |
| Practice Fax Number | 3153862781 |
| Mailing Telephone | 3153862325 |
| Mailing Fax Number | 3153862781 |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2009-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
508500-1 | NY | Nursing Service Providers |
| Street Address |
80 ST HWY SUITE 2 |
| City | CANTON |
| State | NY |
| Zip Code | 13617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700428802 | Meagan Elizabeth Hogan | Physician Assistant | 6119 Us Highway Route 11, Canton, NY 13617 | 2019-10-10 |
| 1982251740 | Wilma J. Blackmer | Technician | 1756 Cr 14, Canton, NY 13617 | 2019-08-26 |
| 1326525270 | Kylie Broughal | Physician Assistant | 6119 St Hwy Rt 11, St Lawrence Medical Office Complex, Canton, NY 13617 | 2018-07-24 |
| 1891299608 | Sheena Teresa Smith | Counselor | 310 State Highway 310, Suite 1, Canton, NY 13617 | 2018-03-19 |
| 1972024594 | Patrick James Sullivan | Physician Assistant | 6619 State Highway Route 11, Canton, NY 13617 | 2017-07-05 |
| 1225482763 | Howard Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 6128 Us Highway11, Canton, NY 13617 | 2016-04-21 |
| 1831534452 | Chin Hung Ho | Dermatology | 6119 State Highway Rt 11, Cph Dermotology, Canton, NY 13617 | 2013-05-09 |
| 1194061663 | Sarah Prairie | Counselor | 80 State Hwy 310, Suite 1, Canton, NY 13617 | 2013-01-02 |
| 1679859094 | Nathan Ellis | Occupational Therapist | 139 Outer State St. Rd, Canton, NY 13617 | 2011-10-31 |
| 1407139017 | Julianne Rutley | Occupational Therapist | 139 Outer State Street Rd, Canton, NY 13617 | 2011-09-21 |
| Find all providers in zip 13617 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043734502 | Cajetan Kimfon | Registered Nurse | 8258 Honeytree Blvd, Canton, MI 48187-4111 | 2017-07-26 |
| 1639534878 | Esther Anyanwu | Registered Nurse | 43664 Westminister Way, Canton, MI 48187-3157 | 2015-12-15 |
| 1831476894 | Robin J Hupp | Registered Nurse | 2301 Negley Ave Sw, Canton, OH 44706-2146 | 2011-11-04 |
| 1093969578 | Patricia Marie Cryderman | Registered Nurse | 80 Sh 310, Suite 2, Canton, NY 13617-1436 | 2008-11-10 |
| 1639374044 | Karensue W. Nader | Registered Nurse | 808 22nd St Nw, Canton, OH 44709-3704 | 2007-06-15 |
| 1609096569 | Bethany L Stewart | Registered Nurse | 6683 Firestone Ave Ne, Canton, OH 44721-2514 | 2007-04-26 |
| 1225125743 | John Lee Thomas | Registered Nurse | 1827 2nd St Ne, Canton, OH 44704 | 2006-10-06 |
| 1093731903 | Paul Church | Registered Nurse | 1120 55th St Ne, Canton, OH 44721-3904 | 2006-07-14 |
| 1720225840 | Renae Lynn Johnson | Registered Nurse | 80 Sh 310, Suite 2, Canton, NY 13617-1436 | 2009-01-12 |
| 1508003864 | Michele Marie Levac | Registered Nurse | 80 State Highway 310, Suite 2, Canton, NY 13617-1436 | 2009-01-08 |
| Find all providers in CANTON | ||||
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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.