MRS. SHELBY L WILCOX (NPI# 1083163380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083163380 |
| Entity Type | Individual |
| Full Name | MRS. SHELBY L WILCOX |
| Other Name | MISS SHELBY L SMITH |
| Credential | AGACNP-BC, MSN |
| Practice Address |
98-1079 Moanalua Rd Ste 300 Aiea HI 96701-4722 |
| Mailing Address |
418a Kalama St Kailua HI 96734-2096 |
| Practice Telephone | 8084854120 |
| Mailing Telephone | 6157723996 |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2020-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APRN-2386 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN1042752 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1301 Punchbowl St # 100, Honolulu, HI 968132402 | 8086917598 | 8086917496 |
| 2300 M St Nw, 5th Floor, Washington, DC 200371434 | 2027413300 |
| Street Address |
98-1079 MOANALUA RD STE 300 |
| City | AIEA |
| State | HI |
| Zip Code | 96701-4722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104423516 | Deborah L Oshiro | Massage Therapist | 98-020 Kamehameha Hwy #206, Aiea, HI 96701 | 2020-10-08 |
| 1801407531 | Lana M Lipe | Social Worker | 99-040 Kauhale St Unit 729, Aiea, HI 96701 | 2020-08-14 |
| 1265043772 | Charissa Ono | Massage Therapist | 98-276 Ualo St. #l3, Aiea, HI 96701 | 2020-08-10 |
| 1548808173 | Kimberly Ervin | Behavior Technician | 98-543 Pono Street #a, Aiea, HI 96701 | 2019-12-13 |
| 1932744562 | Catherine O'connor, Np-c, LLC | Dermatology | 99-128 Aiea Heights Dr #110, Aiea, HI 96701 | 2019-11-06 |
| 1053974329 | Kaleo Emmsley | Driver | 99-1225 Aiea Hieghts Drive, Aiea, HI 96701 | 2019-04-22 |
| 1740780949 | East 2 West Integrative Medicine LLC | Acupuncturist | 98-199 Kamehameha Hwy Ste F3, Aiea, HI 96701 | 2018-02-14 |
| 1952821878 | Victoria Rivas | Behavior Technician | 99-870 Iwaena Street #101, Aiea, HI 96701 | 2017-06-21 |
| 1861850307 | Shanda Strickland | Behavioral Analyst | 98-820 Moanalua Rd Space 5, Pmb 161, Aiea, HI 96701 | 2016-01-28 |
| 1134591365 | Marissa Matsuyama | Optometrist | 99-128 Aiea Heights Dr Ste 703, Aiea, HI 96701 | 2015-10-27 |
| Find all providers in zip 96701 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851413892 | Robin Evalena Caravallo | Nurse Practitioner | 98-1005 Moanalua Rd Spc 4020, Aiea, HI 96701 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227005 | Tam Tran | Nurse Practitioner | 1441 Kapiolani Blvd Ste 1902, Honolulu, HI 96814-4409 | 2020-05-22 |
| 1235773011 | Rozlynn Kehaulani Dela Pina | Nurse Practitioner | 91-1021 Kaihi St, Ewa Beach, HI 96706-6223 | 2019-11-04 |
| 1730743956 | Bryan A Johnson | Nurse Practitioner | 94-1221 Ka Uka Blvd # 108-166, Waipahu, HI 96797-6202 | 2019-04-23 |
| 1598008849 | Victoria Dennis | Nurse Practitioner | 691 Mopua St, Haiku, HI 96708-5629 | 2013-04-04 |
| 1326384819 | Rolin Yoshiaki Kuba | Nurse Practitioner | 1717 Mott-smith Dr Apt 2611, Honolulu, HI 96822-2845 | 2013-01-02 |
| 1073759882 | Vicky Marquez Crowder | Nurse Practitioner | 555 S. Beretania St, Ste 601, Honolulu, HI 96813 | 2008-12-29 |
| 1821194127 | Angela Moreschi Woods | Nurse Practitioner | 227 Mahalani St, Wailuku, HI 96793-2526 | 2006-09-15 |
| 1316904709 | Alice E Davis | Nurse Practitioner | 1059 Kilauea Ave Ste A, Hilo, HI 96720-4290 | 2006-04-28 |
| 1538777537 | Tawni Cook | Nurse Practitioner | 30 Aulike St, Kailua, HI 96734-2739 | 2020-07-16 |
| 1407485196 | Marvik Vasquez Fernandez | Nurse Practitioner | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2020-04-04 |
| 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.