SHELBY WILSON (NPI# 1003392341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003392341 |
| Entity Type | Individual |
| Full Name | SHELBY WILSON |
| Credential | MHT |
| Practice Address |
3760 Piper St Ste Ll139 Anchorage AK 99508-4683 |
| Mailing Address |
Po Box 4105 Portland OR 97208-4105 |
| Practice Telephone | 9075635006 |
| Practice Fax Number | 9075633217 |
| Mailing Telephone | 8669071068 |
| Mailing Fax Number | 4259179141 |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467726455 | Shelby I Wilson | Specialist | 110 W 38th Ave Ste 4a, Anchorage, AK 99503-5677 | 2012-03-08 |
| 1508408626 | Shelby Wilson | Counselor | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2019-10-09 |
| 1134776156 | Shelby Wilson | Physical Therapist | 3446 Mckelvey Rd, Bridgeton, MO 63044-2525 | 2019-08-23 |
| 1649827213 | Shelby Wilson | Behavior Technician | 913 N Carolina Ave, Statesville, NC 28677-3414 | 2019-08-19 |
| 1982258091 | Shelby Lynne Wilson | Nurse Practitioner | 14601 Detroit Ave, Lakewood, OH 44107-4205 | 2019-07-26 |
| 1780152835 | Shelby Dawn Wilson | Behavior Technician | 6197 Lehman Dr Ste 102, Colorado Springs, CO 80918-3446 | 2018-11-07 |
| 1841720752 | Shelby Wilson | Counselor | 414 N Meridian St, Newberg, OR 97132-2697 | 2017-06-13 |
| 1548637564 | Shelby Wilson | Social Worker | 4615 Government St, Building 1, Baton Rouge, LA 70806-5922 | 2015-08-25 |
| 1114336120 | Shelby Wilson | Physician Assistant | 18205 N 51st Ave, Suite 129, Glendale, AZ 85308-1490 | 2014-08-05 |
| 1568749497 | Shelby Wilson | Pharmacist | 8383 W Alameda Ave, Lakewood, CO 80226-3007 | 2011-11-06 |
| Street Address |
3760 PIPER ST STE LL139 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-4683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942481528 | Eileen Davey | Social Worker | 3760 Piper St Ste Ll139, Anchorage, AK 99508-4682 | 2007-11-23 |
| 1669001582 | Providence Health & Services Washington | Clinic/Center | 3760 Piper St Ste Ll139, Anchorage, AK 99508-4683 | 2020-04-02 |
| 1902448590 | Jason Neumann | Counselor | 3760 Piper St Ste Ll139, Anchorage, AK 99508-4683 | 2019-10-15 |
| 1740848191 | Randee R Shafer | Social Worker | 3760 Piper St Ste Ll139, Anchorage, AK 99508-4683 | 2019-05-31 |
| 1386122364 | Teresa R Moll | Registered Nurse | 3760 Piper St Ste Ll139, Anchorage, AK 99508-4683 | 2018-08-01 |
| 1992281331 | Rachel M Morris | Registered Nurse | 3760 Piper St Ste Ll139, Anchorage, AK 99508-4683 | 2018-07-18 |
| 1326524760 | Raquel Salado | Registered Nurse | 3760 Piper St Ste Ll139, Anchorage, AK 99508-4683 | 2018-07-18 |
| 1336625771 | Nelly Ayala | Registered Nurse | 3760 Piper St Ste Ll139, Anchorage, AK 99508-4683 | 2018-07-18 |
| 1437652914 | Regina L Montgomery | Registered Nurse | 3760 Piper St Ste Ll139, Anchorage, AK 99508-4683 | 2018-03-12 |
| 1477061943 | Alicia R Johnson | Counselor | 3760 Piper St Ste Ll139, Anchorage, AK 99508-4683 | 2018-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710157 | Ida Brothers | Counselor | 2705 W 67th Ave, Anchorage, AK 99502-2222 | 2020-11-04 |
| 1831799287 | Martina A Diamond | Counselor | 3616 Peterkin Ave, Anchorage, AK 99508-1131 | 2020-10-27 |
| 1598362972 | Annette F Wilson | Counselor | 5674 Alora Loop, Anchorage, AK 99504-1050 | 2020-10-08 |
| 1386241917 | Jerome Donald Velcheff | Counselor | 719 Edward St # B, Anchorage, AK 99504-1664 | 2020-10-06 |
| 1386241313 | Lori Ann Velcheff | Counselor | 6800 Howard Ave, Anchorage, AK 99504-1870 | 2020-10-02 |
| 1063019107 | Katherine Patricia Jerue | Counselor | 632 W 15th Ave, Anchorage, AK 99501-5006 | 2020-10-01 |
| 1518584267 | Janna Harvey | Counselor | 2804 W Northern Lights Blvd Ste 280, Anchorage, AK 99517-3300 | 2020-06-29 |
| 1013547306 | Samuel Peterson | Counselor | 4600 Debarr Rd, Anchorage, AK 99508-3103 | 2020-01-25 |
| 1750911335 | Brandi Lyn Ropati-hunte | Counselor | 3406 Seppala Dr Unit B3406, Anchorage, AK 99517-1143 | 2020-01-22 |
| 1538704986 | Ashley Locke | Counselor | 880 H St Ste 201, Anchorage, AK 99501-3450 | 2019-11-08 |
| Find all providers in ANCHORAGE | ||||
Please comment or provide details below to improve the information on SHELBY WILSON.
| 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.