SHELLY SKARIAH (NPI# 1972157915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972157915 |
| Entity Type | Individual |
| Full Name | SHELLY SKARIAH |
| Practice Address |
1001 W Southlake Blvd Southlake TX 76092-6010 |
| Mailing Address |
3125 Riverside Dr Carrollton TX 75007-3732 |
| Practice Telephone | 8178651048 |
| Mailing Telephone | 4695834797 |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2019-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP142218 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1001 W SOUTHLAKE BLVD |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092-6010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750481537 | George Wyatt Webb | Family Medicine | 1001 W Southlake Blvd, Southlake, TX 76092 | 2006-09-22 |
| 1134767411 | Arlington Orthopedic Associates Pa | Durable Medical Equipment & Medical Supplies | 1001 W Southlake Blvd, Southlake, TX 76092-6010 | 2019-12-17 |
| 1487191821 | Kristina Myles | Chiropractor | 1001 W Southlake Blvd, Southlake, TX 76092-6010 | 2017-01-24 |
| 1417203100 | Kimberly Ann Ward | Internal Medicine | 1001 W Southlake Blvd, Southlake, TX 76092-6010 | 2012-07-31 |
| 1295001311 | Mihills Home Visits Pllc | Family Medicine | 1001 W Southlake Blvd, Southlake, TX 76092-6010 | 2012-03-23 |
| 1619261757 | Spine Works Therapy-southlake, P.l.l.c. | Clinic/Center | 1001 W Southlake Blvd, Southlake, TX 76092-6010 | 2011-06-07 |
| 1831338391 | Wyatt Webb Md Pa | Clinic/Center | 1001 W Southlake Blvd, Southlake, TX 76092-6010 | 2009-02-06 |
| 1245437193 | Lana M Heath | Nurse Practitioner | 1001 W Southlake Blvd, Southlake, TX 76092-6010 | 2007-07-02 |
| 1235211186 | Christine Ann Linert | Nurse Practitioner | 1001 W Southlake Blvd, Southlake, TX 76092-6010 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| Find all providers in zip 76092 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235211186 | Christine Ann Linert | Nurse Practitioner | 1001 W Southlake Blvd, Southlake, TX 76092-6010 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740588 | Jessica Claudia Cazaubon | Nurse Practitioner | 13327 Crim Rd, Houston, TX 77049-3448 | 2020-11-04 |
| 1629679147 | Magdoleen Awad | Nurse Practitioner | 1602 Morning Dove Ct, Carrollton, TX 75007-1462 | 2020-11-02 |
| 1215536131 | Linnet Litakuli Nandwa | Nurse Practitioner | 6509 Sheerwater Rd, Arlington, TX 76002-3680 | 2020-10-21 |
| 1902405301 | Texas Suburban Visiting Physician Services | Nurse Practitioner | 2200 Smith Barry Rd, Pantego, TX 76013-5800 | 2020-10-19 |
| 1437757432 | Katie Jo Dixon | Nurse Practitioner | 4300 Speedway Unit 4775, Austin, TX 78765-2032 | 2020-10-12 |
| 1376140954 | Melissa Kujawski | Nurse Practitioner | 332 Enid Dr, Lewisville, TX 75056-5874 | 2020-10-06 |
| 1952908188 | Sari Alhaik | Nurse Practitioner | 411 Park Grove Dr Ste 620, Katy, TX 77450-1576 | 2020-10-01 |
| 1669089421 | Heather Ann Votion | Nurse Practitioner | 4501 S General Bruce Dr Ste 75, Temple, TX 76502-1466 | 2020-09-25 |
| 1245847318 | Xin Peng | Nurse Practitioner | 707 Walsh Hill Trl, Cedar Park, TX 78613-4855 | 2020-09-23 |
| 1194331470 | Clara Dornisha Green | Nurse Practitioner | 5847 Acacia Cir Apt 1816, El Paso, TX 79912-4881 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
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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.