SHELLY BETHANN DAMSCHRODER (NPI# 1164750923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164750923 |
| Entity Type | Individual |
| Full Name | SHELLY BETHANN DAMSCHRODER |
| Credential | R.N. |
| Practice Address |
3101 Clearwater Dr Suite B Prescott AZ 86305-7180 |
| Practice Telephone | 9282379014 |
| Practice Fax Number | 9282379063 |
| Mailing Telephone | 9282379014 |
| Mailing Fax Number | 9282379063 |
| Enumeration Date | 2009-12-05 |
| Last Update Date | 2015-01-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP7289 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3101 CLEARWATER DR SUITE B |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86305-7180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376541805 | Eric Reynold Nelson | Surgery | 3101 Clearwater Dr, Suite A, Prescott, AZ 86305-7180 | 2005-07-08 |
| 1265840037 | Lifetime Medical Care Pllc | Clinic/Center | 3101 Clearwater Dr, Suite B, Prescott, AZ 86305-7180 | 2014-07-24 |
| 1083877070 | Svassama | Clinic/Center | 3101 Clearwater Dr, Suite D, Prescott, AZ 86305-7180 | 2008-07-09 |
| 1376723189 | Eric R Nelson Md PC | Surgery | 3101 Clearwater Dr, Suite A, Prescott, AZ 86305-7180 | 2007-11-08 |
| 1417145426 | Frank Iorio Md | Surgery | 3101 Clearwater Dr, Suite D, Prescott, AZ 86305-7180 | 2007-10-04 |
| 1629154588 | Rose Steeg Phillips | Marriage & Family Therapist | 3101 Clearwater Dr, Suite B, Prescott, AZ 86305 | 2006-10-31 |
| 1083795215 | Karen L Yates | Internal Medicine | 3101 Clearwater Dr, Suite C, Prescott, AZ 86305-7180 | 2006-10-17 |
| 1790873198 | Frank Iorio | Surgery | 3101 Clearwater Dr, #d, Prescott, AZ 86305-7180 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972005395 | Granite View Adult Care Home LLC | Assisted Living Facility | 7105 Williamson Valley Road, Prescott, AZ 86305 | 2018-03-01 |
| 1215468095 | Valerie Williams | Occupational Therapist | 926 S. Hinman Dr., Prescott, AZ 86305 | 2017-03-23 |
| 1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
| 1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
| 1790159853 | Michele A. Bibeau, D.d.s. | Dentist | 1058 Fair Street, Suite A, Prescott, AZ 86305 | 2015-11-30 |
| 1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
| 1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
| 1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
| 1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
| 1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
| Find all providers in zip 86305 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757731 | Dionne Louise Shy | Nurse Practitioner | 939 Juanita Ter, Prescott, AZ 86303-3541 | 2020-07-21 |
| 1659851046 | Michael Berlowe | Nurse Practitioner | 306 N Virginia St, Prescott, AZ 86301-2634 | 2018-08-15 |
| 1760996276 | Melanie Lynn Hearnsberger Mcguire | Nurse Practitioner | 234 Nevada 222 E, Prescott, AR 71857-8101 | 2017-11-20 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1265958755 | Prescott Family Practice and Wellness, LLC | Nurse Practitioner | 1151 W Iron Springs Rd Ste F, Prescott, AZ 86305-1614 | 2017-08-16 |
| 1073067195 | Arrow Housecall | Nurse Practitioner | 1797 N Lapis Dr, Prescott, AZ 86301-5972 | 2016-08-05 |
| 1326431214 | Helen Betito Paslay | Nurse Practitioner | 3110 Clearwater Dr Ste B, Prescott, AZ 86305-7177 | 2015-03-16 |
| 1992116446 | Teri Sweginnis | Nurse Practitioner | 1602 Barmar Ln, Prescott, AZ 86301-1266 | 2014-05-17 |
| 1013330448 | Atlas Health Assessment LLC | Nurse Practitioner | 969 W Gurley St, Prescott, AZ 86305-2817 | 2014-01-21 |
| 1073866406 | Thomas Judah Gann | Nurse Practitioner | 3625 Crossings Dr, Prescott, AZ 86305-7159 | 2012-10-23 |
| Find all providers in PRESCOTT | ||||
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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.