LATINA D SHELLEY


Address: 614 E Emma Ave, Suite 300, Springdale, AR 72764-4469
Phone: 4797517417

LATINA D SHELLEY (NPI# 1083969240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083969240
Entity Type Individual
Full Name LATINA D SHELLEY
Credential ANP
Practice Address 614 E Emma Ave
Suite 300
Springdale
AR 72764-4469
Practice Telephone 4797517417
Practice Fax Number 4797514898
Mailing Telephone 4797517417
Mailing Fax Number 4797514898
Enumeration Date 2012-07-13
Last Update Date 2016-05-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
A003725 AR Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 614 E EMMA AVE
SUITE 300
City SPRINGDALE
State AR
Zip Code 72764-4469

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689679573 Terry F Sutterfield Family Medicine 614 E Emma Ave, Suite 300, Springdale, AR 72764-4634 2005-06-16
1528572674 Cris Antonia Arias Social Worker 614 E Emma Ave, Springdale, AR 72764-4634 2017-11-28
1407231251 Sarah Maria Gardner Dentist 614 E Emma Ave, Springdale, AR 72764-4469 2015-07-22
1881086148 Holly Rogers Nurse Practitioner 614 E Emma Ave, Ste 300, Springdale, AR 72764-4634 2015-02-24
1952716581 Tonya Trucks Nurse Practitioner 614 E Emma Ave, Springdale, AR 72764-4634 2014-06-23
1952749517 Trenton Merle Mccord Dentist 614 E Emma Ave, Suite 300, Springdale, AR 72764-4634 2013-06-05
1225376411 Karen Faye Pinkerton Nurse Practitioner 614 E Emma Ave, Ste. 300, Springdale, AR 72764-4634 2013-01-22
1629332416 Ashley Altazin Holman Dentist 614 E Emma Ave, Suite 300, Springdale, AR 72764-4634 2012-06-27
1659639664 Gary Browning Berner Internal Medicine 614 E Emma Ave, Suite 300, Springdale, AR 72764-4469 2012-04-26
1144592627 Lee Christenson Social Worker 614 E Emma Ave, Suite 300, Springdale, AR 72764-4469 2012-01-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851903884 Conway County Community Service Inc. Community/Behavioral Health 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 2020-08-20
1316592801 Above and Beyond Pediatric Therapy, Inc Speech-Language Pathologist 2700 American St., Ste B, Springdale, AR 72764 2019-08-02
1053871061 Specialized Hearing Instruments, Inc. Audiologist-Hearing Aid Fitter 958 S. West End St., Springdale, AR 72764 2019-03-25
1801385976 Taylor Beauregard Kelamis Nurse Practitioner Mercy Clinic Family Medicine, 1110 W. Robinson Ave, Springdale, AR 72764 2018-05-04
1649726878 Ember Estelle Lanuti Brown Speech-Language Pathologist 4209 Navajo Court, Springdale, AR 72764 2016-08-28
1568838241 Elayna Wells Speech-Language Pathologist 900 S Powell Street, Springdale, AR 72764 2015-08-17
1184003261 Okeyo Oghina Nurse Practitioner 609 West Maple Avenue, Northwest Health System, Springdale, AR 72764 2015-05-22
1235524869 William M Rogers Family Medicine 513 N. Shiloh Street, Springdale, AR 72764 2015-03-31
1336498872 Kelly Meeann Miller Speech-Language Pathologist 105 S Blair Street, Springdale, AR 72764 2012-08-30
1902183874 Cristy Hoffman Physical Therapy Assistant 2837 American St Ste A, Springdale, AR 72764 2011-11-07
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083863609 Michele R Kilmer Nurse Practitioner 5203 Willow Creek Dr, Springdale, AR 72762-0876 2008-09-18
1154538247 Staci Marie Graber Nurse Practitioner 5203 Willow Creek Dr. Ste 203, Springdale, AR 72762 2007-05-17
1831602135 Amanda Schafer Quick Nurse Practitioner 2601 Gene George Blvd, Springdale, AR 72762-0845 2017-11-08
1952716581 Tonya Trucks Nurse Practitioner 614 E Emma Ave, Springdale, AR 72764-4634 2014-06-23
1386089712 Sarah Ann Guntorius Nurse Practitioner 2601 Gene George Blvd, Springdale, AR 72762-0845 2013-04-29
1619210754 Dana Beierle Nurse Practitioner 3057 Springdale Ave, Springdale, AR 72762-4346 2013-03-27
1437403235 Bessie Smith Nurse Practitioner 5203 Willow Creek Dr Ste 2, Springdale, AR 72762 2012-10-31
1558614008 Megan Michelle Kumpe Nurse Practitioner 5501 Willow Creek Dr. Ste 203, Springdale, AR 72762 2012-10-22
1134403884 Megan Renee Merrigan Nurse Practitioner 2601 Gene George Blvd, Springdale, AR 72762-0845 2011-09-29
1932417003 Heather Rooke-carney Cantrell Nurse Practitioner 2601 Gene George Blvd, Springdale, AR 72762-0845 2010-09-22
Find all providers in SPRINGDALE

Competitor

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City SPRINGDALE
Zip Code 72764

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Dataset Information

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.

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