SHELLY R NICKELS (NPI# 1891088159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891088159 |
| Entity Type | Individual |
| Full Name | SHELLY R NICKELS |
| Credential | MD |
| Practice Address |
18414 Us Highway 281 N Ste 104 San Antonio TX 78259-7611 |
| Practice Telephone | 2104950224 |
| Practice Fax Number | 2104950343 |
| Mailing Telephone | 2104950224 |
| Mailing Fax Number | 2104950343 |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2016-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | P8167 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
18414 US HIGHWAY 281 N STE 104 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78259-7611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780681510 | Shannon Rebecca Prevette | Family Medicine | 18414 Us Highway 281 N Ste 104, San Antonio, TX 78259-7611 | 2005-07-07 |
| 1013471184 | Mcci of Texas Primary Care Group Pllc | Family Medicine | 18414 Us Highway 281 N Ste 104, San Antonio, TX 78259-7611 | 2019-01-23 |
| 1639530173 | Vinh-quang Do Nguyen | Internal Medicine | 18414 Us Highway 281 N Ste 104, San Antonio, TX 78259-7611 | 2016-03-11 |
| 1972988632 | David Medrano | Nurse Practitioner | 18414 Us Highway 281 N Ste 104, San Antonio, TX 78259-7611 | 2015-07-23 |
| 1114309176 | Temitayo Odesanya | Internal Medicine | 18414 Us Highway 281 N Ste 104, San Antonio, TX 78259-7611 | 2015-06-25 |
| 1972842664 | Mcci of Texas Primary Care Group Pllc | General Practice | 18414 Us Highway 281 N Ste 104, San Antonio, TX 78259 | 2013-01-31 |
| 1871884007 | Siu-han Paola Abate | Specialist | 18414 Us Highway 281 N Ste 104, San Antonio, TX 78259-7611 | 2011-04-21 |
| 1588896922 | Diego Rodrigo Valencia Chavez | Internal Medicine | 18414 Us Highway 281 N Ste 104, San Antonio, TX 78259-7611 | 2009-08-19 |
| 1184887176 | Samiha Jawed | Internal Medicine | 18414 Us Highway 281 N Ste 104, San Antonio, TX 78259-7611 | 2008-07-09 |
| 1669652632 | Felicia A. Armstrong | Internal Medicine | 18414 Us Highway 281 N Ste 104, San Antonio, TX 78259-7611 | 2007-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952893448 | Greater Texas Palliative Care Services Pllc | Internal Medicine | 21806 Barton Woods, San Antonio, TX 78259 | 2018-05-31 |
| 1336639467 | Kriti Juneja | Behavioral Analyst | 21303 Encino Cmns Apt No1707, San Antonio, TX 78259 | 2018-05-14 |
| 1699121871 | Jesse Frank Delacruz | Nurse Practitioner | 21103 Simi Valley Drive, San Antonio, TX 78259 | 2016-05-06 |
| 1194139063 | Summer Ashley Kotson | Chiropractor | 2719 Rancho Mirage, San Antonio, TX 78259 | 2014-06-18 |
| 1194166645 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2502 Marshall Rd, San Antonio, TX 78259 | 2013-07-12 |
| 1174882369 | John Adams, Md Psychiatry Pllc | Psychiatric Unit | 17720 Corporate Woods Drive, San Antonio, TX 78259 | 2012-05-09 |
| 1508156589 | Kiddo Dental Pa | Dentist | 20306 Encino Ledge Ste 106, Kiddo Dental, San Antonio, TX 78259 | 2011-04-12 |
| 1386824217 | Austin Joseph Garrison | Dentist | 22100 Bulverde Rd, Suite 114, San Antonio, TX 78259 | 2007-11-08 |
| 1568584670 | Michael John Norgard | Internal Medicine | 226 Roseheart, San Antonio, TX 78259 | 2007-04-06 |
| 1225178817 | Texas Midwives Group | Midwife | 2211 Tworivers Dr., San Antonio, TX 78259 | 2007-02-06 |
| Find all providers in zip 78259 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080014 | Stephanie Kennedy | Internal Medicine | 503 E Sonterra Blvd, San Antonio, TX 78258-4058 | 2020-10-09 |
| 1356966287 | All-american Allergy Asthma & Immunology Center | Internal Medicine | 1303 Mccullough Ave Ste 362, San Antonio, TX 78212-5620 | 2020-06-16 |
| 1154945913 | Primera Wellness LLC | Internal Medicine | 1603 Babcock Rd Ste 238-2, San Antonio, TX 78229-4708 | 2020-06-07 |
| 1982244612 | Douglas Shawn Owens | Internal Medicine | 503 E Sonterra Blvd Ste 102, San Antonio, TX 78258-4059 | 2020-01-10 |
| 1053872937 | Southern Texas Physicians,llc | Internal Medicine | 14345 Blanco Rd, San Antonio, TX 78216-7723 | 2019-03-25 |
| 1568929479 | Abc Medical Concierge LLC | Internal Medicine | 2838 N Loop 1604 E Ste 104, San Antonio, TX 78232-1712 | 2019-02-27 |
| 1861972796 | Integrative Health Solution, LLC | Internal Medicine | 10007 Huebner Rd Ste 106, San Antonio, TX 78240-1646 | 2018-08-20 |
| 1528553039 | Remington Wellness Group Dba Truemed Health Centers | Internal Medicine | 525 Oak Centre Dr Ste 230, San Antonio, TX 78258-3916 | 2018-06-27 |
| 1942733662 | Tasnim Islam | Internal Medicine | 12446 West Ave Ste 102, San Antonio, TX 78216-2530 | 2017-04-10 |
| 1154866135 | Chris Dire | Internal Medicine | 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, San Antonio Military Medical Center, San Antonio, TX 78234-4504 | 2016-12-29 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78259 |
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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.