DR. JOHN LEWIS SHELTON (NPI# 1033153242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033153242 |
Entity Type | Individual |
Full Name | DR. JOHN LEWIS SHELTON |
Credential | PH.D. |
Practice Address |
3331 Broadway Everett WA 98201-4472 |
Mailing Address |
Po Box 744 Freeland WA 98249-0744 |
Practice Telephone | 3603211022 |
Practice Fax Number | 3603214575 |
Mailing Telephone | 3603211022 |
Mailing Fax Number | 3603214575 |
Enumeration Date | 2006-06-16 |
Last Update Date | 2012-04-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY00000580 | WA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | WASHINGTON STATE DEPARTMENT OF LABOR AND INDUSTRIES | 0017234 | 01 |
WA | PROFESSIONAL LICENSE | PY00000580 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760533491 | John Southall Shelton | Orthotist | 2800 Ashton Dr Ste 201, Wilmington, NC 28412-2486 | 2007-01-16 |
1275540759 | John Howard Shelton | Dentist | 1015 Market St, Metropolis, IL 62960-1529 | 2006-08-01 |
1013950906 | John S Shelton | Family Medicine | 1800 W Chestnut St, 1155 Union Circle #305160, Denton, TX 76201 | 2006-06-14 |
1083688964 | John Buford Shelton | Family Medicine | 6101 Woodway Dr Ste 200, Waco, TX 76712-6117 | 2006-02-15 |
1508256447 | John Austin Shelton | Registered Nurse | 530 S Jackson St, Louisville, KY 40202-1675 | 2015-01-30 |
1265695027 | John L Shelton | Dentist | 1626 Mcarthur St, Manchester, TN 37355-2522 | 2008-07-02 |
1235245762 | John Shelton | Family Medicine | 201 North Clyde Morris Blvd., Suite 200, Halifax Health Medical Center, Daytona Beach, FL 32114-2765 | 2006-08-21 |
1326047994 | John C Shelton | Otolaryngology | 701 Manatee Ave W, Suite 202, Bradenton, FL 34205-8604 | 2005-07-18 |
Street Address |
3331 BROADWAY |
City | EVERETT |
State | WA |
Zip Code | 98201-4472 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871861591 | Omni Imaging, LLC | Radiology | 3331 Broadway, Everett, WA 98201-4472 | 2011-12-08 |
1447378583 | Everett Mri & Diagnostic Center LLC | Clinic/Center | 3331 Broadway, Everett, WA 98201-4424 | 2007-03-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
Find all providers in zip 98201 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245758903 | Justin Samuel Hampton | Psychologist | 3202 Colby Ave # 200, Everett, WA 98201-4324 | 2017-09-01 |
1063880474 | Daniel Thomas Gautreau | Psychologist | 10333 19th Ave Se Ste 109, Everett, WA 98208-4267 | 2015-09-02 |
1588082077 | Kimberly Maceachern | Psychologist | 309 Pecks Dr, Everett, WA 98203 | 2014-04-01 |
1043458904 | Valla Penrose Walker | Psychologist | 1721 Hewitt Ave Ste 518, Everett, WA 98201-3546 | 2009-01-30 |
1639381098 | Steven H. Taylor | Psychologist | 1604 Hewitt Ave, Suite 510, Everett, WA 98201-3595 | 2007-05-05 |
1265535595 | Diane Elizabeth Nash-mcferon | Psychologist | 2936 Rockefeller Ave, Everett, WA 98201-4020 | 2006-09-05 |
1477565620 | Kris Kyro Ph.d. Inc. P.s. | Psychologist | 3206 Wetmore Ave, Suite 13, Everett, WA 98201-6407 | 2006-08-13 |
1427083690 | Amy Suzanne Clark | Psychologist | 4310 Colby Ave Ste 201, Everett, WA 98203-2338 | 2006-07-12 |
1619956133 | Robert John Arnone | Psychologist | 127 E Intercity Ave, Suite A, Everett, WA 98208-2732 | 2006-01-12 |
1780672030 | Kathryn M Johnson | Psychologist | 1728 W Marine View Dr, Suite 106, Everett, WA 98201-2094 | 2005-10-11 |
Find all providers in EVERETT |
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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.