MR. DAVID MARK SHETLER (NPI# 1124585815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124585815 |
| Entity Type | Individual |
| Full Name | MR. DAVID MARK SHETLER |
| Practice Address |
604 S Wall St Shelbyville TN 37160-3797 |
| Practice Telephone | 9316840522 |
| Mailing Telephone | 9316840522 |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2019-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740299692 | David Henry Shetler | Chore Provider | Meddac, Building 248-a, Barstow Road, Fort Irwin, CA 92310 | 2006-08-07 |
| Street Address |
604 S WALL ST |
| City | SHELBYVILLE |
| State | TN |
| Zip Code | 37160-3797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538297296 | Sherry J Walker | Social Worker | 604 S Wall St, Shelbyville, TN 37160-3797 | 2007-03-02 |
| 1568001881 | Sarah Ann Marchetti | Case Manager/Care Coordinator | 604 S Wall St, Shelbyville, TN 37160-3797 | 2020-01-03 |
| 1881246874 | Michael Caleb Gulley | Nurse Practitioner | 604 S Wall St, Shelbyville, TN 37160-3797 | 2019-07-10 |
| 1093370082 | Shannon Rebecca Locke | Social Worker | 604 S Wall St, Shelbyville, TN 37160-3797 | 2019-05-05 |
| 1881166163 | Camillia Rae Hadley | Community Health Worker | 604 S Wall St, Shelbyville, TN 37160-3797 | 2018-12-26 |
| 1114428992 | Brittany Taylor Hise | Registered Nurse | 604 S Wall St, Shelbyville, TN 37160-3797 | 2018-02-26 |
| 1497268593 | Aimee Sullivan | Counselor | 604 S Wall St, Shelbyville, TN 37160-3797 | 2017-11-10 |
| 1497294631 | Tressanique Hampton | Counselor | 604 S Wall St, Shelbyville, TN 37160-3797 | 2017-02-21 |
| 1730631763 | Amber Dawson | Registered Nurse | 604 S Wall St, Shelbyville, TN 37160-3797 | 2016-10-25 |
| 1891241220 | Mallory Garner | Counselor | 604 S Wall St, Shelbyville, TN 37160-3797 | 2016-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255821310 | Middle Tennessee Support Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 375 Uselton Road, Shelbyville, TN 37160 | 2018-05-15 |
| 1194224998 | Stephen Blake Feldhaus | Nurse Practitioner | 112 Airport Business Park Rd, Ste H, Shelbyville, TN 37160 | 2018-02-07 |
| 1285158519 | Angelique Lynn Oliver | Case Management | 604 S. Wall St., Shelbyville, TN 37160 | 2017-07-28 |
| 1215476445 | Acts of Kindness | Home Health | 213 Lane Parkway, Shelbyville, TN 37160 | 2017-02-21 |
| 1255727681 | Nancy Elizabeth Hudson | Counselor | 117 Mcgrew Street, Shelbyville, TN 37160 | 2015-04-13 |
| 1699177956 | Shelbyville Medical Group, Pllc | Family Medicine | 221 Lane Parkway, Shelbyville, TN 37160 | 2014-09-18 |
| 1154637122 | Digestive Healthcare of Central Tennessee, Pllc | Internal Medicine | 112 Airport Business Park Drive, Suite G, Shelbyville, TN 37160 | 2010-08-27 |
| 1871791293 | Frank L Jayakody Md PC | Family Medicine | 1701 North Main St, Shelbyville, TN 37160 | 2007-07-06 |
| 1871794222 | Glen Oaks, LLC | Skilled Nursing Facility | 1101 Glenoaks Rd, Shelbyville, TN 37160 | 2007-05-31 |
| 1346459385 | Chamberland Dentistry PC | Preferred Provider Organization | 1006 Colloredo Blvd, Shelbyville, TN 37160 | 2007-05-22 |
| Find all providers in zip 37160 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639614126 | Yolanda Williams | Counselor | 77 Mack Walters Rd Ste 102, Shelbyville, KY 40065-1790 | 2016-12-20 |
| 1013348242 | Elisa Sykes-brees | Counselor | 250 Alpine Drive, Shelbyville, KY 40065 | 2013-12-13 |
| 1700228327 | Virginia Lynn Hall | Counselor | 207 Ray St, Shelbyville, TN 37160-2919 | 2013-07-24 |
| 1205074291 | Debera Bragg | Counselor | 1620 S Miller St, Shelbyville, IN 46176-2951 | 2009-01-28 |
| 1437309358 | Kent Huber | Counselor | 2325 Intelliplex Dr Ste 207, Shelbyville, IN 46176-8546 | 2008-09-27 |
| 1073734711 | Katherine M Leugers | Counselor | 7 E Hendricks Street, Shelbyville, IN 46176 | 2007-05-01 |
| 1821008707 | Donald Rech | Counselor | 18 E Mechanic, Shelbyville, IN 46176 | 2006-08-09 |
| 1063420560 | Heather Ann Phillips | Counselor | 18 E Mechanic St, Shelbyville, IN 46176-1318 | 2006-08-03 |
| 1891241220 | Mallory Garner | Counselor | 604 S Wall St, Shelbyville, TN 37160-3797 | 2016-08-26 |
| 1477006963 | Abigail Bishop | Counselor | 1028 Main St, Shelbyville, KY 40065-1315 | 2016-08-01 |
| Find all providers in SHELBYVILLE | ||||
| City | SHELBYVILLE |
| Zip Code | 37160 |
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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.