AMANDA E SHELLEY (NPI# 1003993916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003993916 |
| Entity Type | Individual |
| Full Name | AMANDA E SHELLEY |
| Other Name | AMANDA E SHELLEY-AYALA |
| Credential | PA-C |
| Practice Address |
2196 E Williams Field Rd #116 Gilbert AZ 85295-0754 |
| Practice Telephone | 4802371395 |
| Practice Fax Number | 6022184076 |
| Mailing Telephone | 4802371395 |
| Mailing Fax Number | 6022184076 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2015-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 52291 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 3264 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528531332 | Amanda Shelley | Behavior Technician | 8885 Rio San Diego Dr Ste 340, San Diego, CA 92108-1669 | 2019-01-03 |
| Street Address |
2196 E WILLIAMS FIELD RD #116 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85295-0754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568436673 | Rakeshkumar C Patel | Family Medicine | 2196 E Williams Field Rd, #116, Gilbert, AZ 85295-0754 | 2006-02-15 |
| 1942561451 | Zachary Ortiz | Family Medicine | 2196 E Williams Field Rd, #116, Gilbert, AZ 85295-0754 | 2012-05-31 |
| 1912010992 | Thomas Y Tsai | Family Medicine | 2196 E Williams Field Rd, #116, Gilbert, AZ 85295-0754 | 2006-08-16 |
| 1336169077 | Christian Daniel Long | Physician Assistant | 2196 E Williams Field Rd, #116, Gilbert, AZ 85295-0754 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471368 | Lifequest Holding Company Gilbert, LLC | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1255946075 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd. Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1407467962 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd, Suite 101, Gilbert, AZ 85295 | 2020-08-10 |
| 1275187718 | Guylene Lucien | Nurse Practitioner | 1689 S. Parkcrest Street, Gilbert, AZ 85295 | 2019-08-01 |
| 1326607144 | Hand Up Behavioral Services, LLC | Community/Behavioral Health | 4145 East Megan Street, Gilbert, AZ 85295 | 2019-06-06 |
| 1629582069 | Victoria Munoz Garcia | Naturopath | 920 S Williams Field Rd., Ste 102, Gilbert, AZ 85295 | 2017-11-21 |
| 1649798752 | Eureka Imperial Residence | Clinic/Center | 633 E Ray Road, Gilbert, AZ 85295 | 2017-09-08 |
| 1447791496 | Janine Patrice Faux | Counselor | 2563 S. Val Vista Drive St. 108, Gilbert, AZ 85295 | 2017-03-10 |
| 1437690450 | Erskine & Barber LLC | Clinic/Center | 5656 S. Power Rd #129, Gilbert, AZ 85295 | 2017-03-09 |
| 1164965448 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 774 E. Buffalo St, Chandler, AZ 85295 | 2016-11-18 |
| Find all providers in zip 85295 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427687953 | Zachary Scott | Physician Assistant | 562 E Campbell Ave, Gilbert, AZ 85234-4612 | 2020-04-06 |
| 1912539511 | Amber Lee Price | Physician Assistant | 428 S Gilbert Rd Ste 114, Gilbert, AZ 85296-2262 | 2020-02-11 |
| 1912549379 | Brooke Elizabeth Lopez | Physician Assistant | 1489 S Higley Rd Ste 101, Gilbert, AZ 85296-4777 | 2019-10-16 |
| 1477118180 | Mai Thai | Physician Assistant | 1725 S Coronado Rd Apt 1035, Gilbert, AZ 85295-0080 | 2019-05-08 |
| 1356800924 | Kirstin Lampi Tymkew | Physician Assistant | 4255 E Pecos Rd Apt 3011, Gilbert, AZ 85295-7842 | 2019-03-13 |
| 1033685763 | Jocelyn Lucita Ore | Physician Assistant | 3011 S Lindsay Rd Ste 105, Gilbert, AZ 85295-4333 | 2018-10-20 |
| 1003381633 | Samuel Dean Fox | Physician Assistant | 4915 E Baseline Rd Ste 102, Gilbert, AZ 85234-2966 | 2018-10-10 |
| 1598240731 | Sylvia Phommalinh | Physician Assistant | 1309 S Minneola Ln, Gilbert, AZ 85296-7824 | 2018-10-03 |
| 1518441831 | Kara Lyn Holyoak | Physician Assistant | 1359 S. Porter St., Gilbert, AZ 85296 | 2018-09-21 |
| 1144703257 | Annie Celeste Hart | Physician Assistant | 610 W Sereno Dr, Gilbert, AZ 85233-7251 | 2018-09-13 |
| Find all providers in GILBERT | ||||
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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.