SHELBY ANGELA CRANDALL (NPI# 1003439985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003439985 |
| Entity Type | Individual |
| Full Name | SHELBY ANGELA CRANDALL |
| Credential | EMT |
| Practice Address |
11 Two Springs Rd Ennis MT 59729-9188 |
| Practice Telephone | 4062105629 |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2020-05-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | 58590 | MT | Emergency Medical Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Kayenta Health Center, Hwy 160 M.p. 394.3, Kayenta, AZ 86033 | 4062105629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760936132 | Shelby Crandall | Case Manager/Care Coordinator | 2808 S Picher Ave, Joplin, MO 64804-1645 | 2016-08-15 |
| Street Address |
11 TWO SPRINGS RD |
| City | ENNIS |
| State | MT |
| Zip Code | 59729-9188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528300159 | Lindsay Degroot | Counselor | 1 Steambath Dr, Suite B, Ennis, MT 59729 | 2013-03-21 |
| 1447583059 | Lacey Hanson | Counselor | 6 Wapiti Lane, Ennis, MT 59729 | 2009-09-14 |
| 1861676744 | Neil Edgar Falkenburg | Psychiatry & Neurology | 14 Sidehill Trail, Ennis, MT 59729 | 2007-12-27 |
| 1235257239 | Darci L Sgrignoli | Occupational Therapist | 217 N. Main, Rehab Dept, Ennis, MT 59729 | 2007-03-27 |
| 1588745715 | Jeanne Marie Diebert | Dietitian, Registered | 222 E. Main Unit 1f, Ennis, MT 59729 | 2006-10-17 |
| 1932194784 | Carson Curtis Blake | Family Medicine | 305 N. Main, Ennis, MT 59729 | 2005-09-19 |
| 1265679831 | Martin Eugene Hensel | Physician Assistant | 305 N. Main, Ennis, MT 59729 | 2009-01-19 |
| 1972754505 | Morgan L. Stearns | Physician Assistant | 305 N. Main, Ennis, MT 59729 | 2008-10-01 |
| 1255493235 | Town of Ennis | Emergency Medical Technician, Basic | 328 West Main St., Ennis, MT 59729-0147 | 2006-12-15 |
| 1932241700 | Ennis Pharmacy & Yesterdays | Pharmacy | 124 Main St, Ennis, MT 59729-0306 | 2007-02-12 |
| Find all providers in zip 59729 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255493235 | Town of Ennis | Emergency Medical Technician, Basic | 328 West Main St., Ennis, MT 59729-0147 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770943771 | Wise River Volunteer Fire Company | Emergency Medical Technician, Basic | 64795 Mt Highway 43, Wise River, MT 59762-9700 | 2016-03-03 |
| 1871922203 | Bonnie Lynn Longknife | Emergency Medical Technician, Basic | Rr 1 Box 642, Box Elder, MT 59521-9730 | 2013-11-06 |
| 1851676365 | Authentic Agenda, Inc. | Emergency Medical Technician, Basic | 386 Hammond Creek Rd, Crazy Mountain Ranch, Clyde Park, MT 59018 | 2011-10-15 |
| 1780847509 | Eastgate Vfd | Emergency Medical Technician, Basic | 3895 Buttercup, East Helena, MT 59635-0735 | 2008-07-02 |
| 1679692800 | Golden Valley Ambulance Service | Emergency Medical Technician, Basic | 104 Kemp Street, Ryegate, MT 59074 | 2007-03-28 |
| 1497871800 | Dennis Trenton Murphy | Emergency Medical Technician, Basic | 32 Campus Dr # Ac250, Rhinehart Atc, Missoula, MT 59812-0003 | 2007-03-21 |
| 1811045511 | County of Prairie | Emergency Medical Technician, Basic | 217 West Park St, Terry, MT 59349-0126 | 2007-01-08 |
| 1619046661 | Glenn D Houser | Emergency Medical Technician, Basic | 450 Osloski Rd, Eureka, MT 59917-9534 | 2006-11-06 |
| 1205887924 | Community Hospital of Anaconda | Emergency Medical Technician, Basic | 401 W Pennsylvania St, Anaconda, MT 59711-1931 | 2006-05-15 |
| 1508377490 | Mathew Goodrich | Emergency Medical Technician, Basic | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2017-10-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SHELBY ANGELA CRANDALL.
| 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.