SHELLY L BETANCOURT (NPI# 1962840397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962840397 |
| Entity Type | Individual |
| Full Name | SHELLY L BETANCOURT |
| Credential | MSN,MHA,WHNP-BC |
| Practice Address |
639 E Main St Carson City MI 48811-9795 |
| Mailing Address |
639 E Main St Po Box 670 Carson City MI 48811-9795 |
| Practice Telephone | 9895843107 |
| Practice Fax Number | 9895846458 |
| Mailing Telephone | 9895843107 |
| Mailing Fax Number | 9895846458 |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2013-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
4704173045 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
639 E MAIN ST |
| City | CARSON CITY |
| State | MI |
| Zip Code | 48811-9795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699200550 | Sparrow Carson Hospital | Clinic/Center | 639 E Main St, Carson City, MI 48811-9795 | 2017-04-27 |
| 1528316932 | Carson City Hospital | Obstetrics & Gynecology | 639 E Main St, Carson City, MI 48811-9795 | 2012-08-16 |
| 1396852976 | Carson City Center for Women's Healthcare PC | Obstetrics & Gynecology | 639 E Main St, Carson City, MI 48811-9795 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700302528 | Amanda Elizabeth Bennett | Nurse Practitioner | 102 South Thrid Street, Suite 100, Carson City, MI 48811 | 2017-08-15 |
| 1073061180 | Kelsey Dennis | Specialist/Technologist | 6460 S Mount Hope Rd, Carson City, MI 48811 | 2016-09-18 |
| 1598018152 | Healthstat- Carson City Hospital | Preventive Medicine | 46 Elm St., Carson City, MI 48811 | 2012-10-19 |
| 1023283876 | Dean L Barker | Pharmacist | 10767 E. Carson City Road, Carson City, MI 48811 | 2008-04-23 |
| 1891984431 | Thomas O Morgan Do PC | Surgery | 102 S. Third Street, Suite 400, Carson City, MI 48811 | 2007-10-19 |
| 1609091180 | Matthew Eric Haglund | Chiropractor | 10708 E Carson City Road, Carson City, MI 48811 | 2007-04-17 |
| 1417171844 | The Laurels of Carson City, LLC | Skilled Nursing Facility | 620 N. Second Street, Carson City, MI 48811 | 2007-04-13 |
| 1184792053 | Sparrow Carson Hospital | Psychiatry & Neurology | 102 S. Third St., Suite 500, Carson City, MI 48811 | 2006-12-01 |
| 1730103003 | Carol Marie Carpenter | Social Worker | 102 South Third Street, Suite 500, Carson City, MI 48811 | 2006-07-27 |
| 1801815956 | John Gilbert Lundeen | Radiology | 406 Elm St, Carson City, MI 48811 | 2006-07-19 |
| Find all providers in zip 48811 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922177377 | Janice A Russell | Nurse Practitioner | 401 E Elm St, Carson City, MI 48811-0670 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255607032 | Maureen M Westfall | Nurse Practitioner | 4200 Whitehall Dr Ste 330, Ann Arbor, MI 48105-9694 | 2012-03-27 |
| 1306121660 | Julie Sokolow | Nurse Practitioner | 317 S Drake Rd Ste B, Kalamazoo, MI 49009-1171 | 2011-10-19 |
| 1073835302 | Leah Foucart | Nurse Practitioner | 6920 Tamarack Ln, Holly, MI 48442-9157 | 2010-03-01 |
| 1265547749 | Karen J Pociluyko | Nurse Practitioner | 205 N Hintz Rd, Owosso, MI 48867-9019 | 2006-08-21 |
| 1790765139 | Kyoung Kelly Lee | Nurse Practitioner | 3300 West Centre Ave, Bronson Ob/gyn Associates, Portage, MI 49024 | 2006-01-20 |
| 1063924926 | Jennifer Ann Soper | Nurse Practitioner | 3300 W Centre Ave, Portage, MI 49024-4666 | 2017-11-01 |
| 1790206019 | Christy Lynn Klieman | Nurse Practitioner | 1701 South Boulevard, East, Suite 200, Rochester Hills, MI 48307 | 2017-06-28 |
| 1942613252 | Lorrie Lorraine Youngs | Nurse Practitioner | 2012 E Preston St, Mt Pleasant, MI 48858-8990 | 2014-06-04 |
| 1861814220 | Jeanna Mastracci | Nurse Practitioner | 44344 Dequindre Rd, Sterling Heights, MI 48314-1038 | 2014-01-19 |
| 1639517758 | Sarah Sharp | Nurse Practitioner | 8333 Felch St Ste 202, Zeeland, MI 49464-2609 | 2013-06-11 |
| Find all providers with the same taxonomy | ||||
| City | CARSON CITY |
| Zip Code | 48811 |
Please comment or provide details below to improve the information on SHELLY L BETANCOURT.
| 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.