SHELLY A THIBODEAU (NPI# 1174970354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174970354 |
| Entity Type | Individual |
| Full Name | SHELLY A THIBODEAU |
| Credential | RN |
| Practice Address |
6 Avis Dr Clinton ME 04927-3728 |
| Mailing Address |
16 Birch Ln Liberty ME 04949-3354 |
| Practice Telephone | 2074266060 |
| Mailing Telephone | 2073140736 |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2017-05-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN66548 | ME | Nursing Service Providers |
| Street Address |
6 AVIS DR |
| City | CLINTON |
| State | ME |
| Zip Code | 04927-3728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609216498 | Dirigo Drug LLC | Pharmacy | 1144 Main Street, Clinton, ME 04927 | 2013-06-26 |
| 1417159120 | Holly Lynn Dixon | Social Worker | 75 Morrison Ave, Clinton, ME 04927 | 2007-06-04 |
| 1972805794 | Leroy Allen Holt | Case Manager/Care Coordinator | 21 Baker Street, 40, Clinton, ME 04927-0040 | 2010-11-30 |
| 1730495912 | Cheryl Anne Towle | Specialist/Technologist | 75 Morrison Ave, Clinton, ME 04927-3202 | 2010-08-25 |
| 1386958213 | Melody Brann | Speech-Language Pathologist | 75 Morrison Ave, Clinton, ME 04927-3202 | 2010-08-03 |
| 1043330947 | Town of Clinton | Ambulance | 27 Baker St, Clinton, ME 04927-3551 | 2007-04-02 |
| 1942859715 | Compassionate Caregivers for Me, LLC | Technician | 596 Hinckley Rd, Clinton, ME 04927-3619 | 2019-09-05 |
| 1508095811 | Brabara Lambert | In Home Supportive Care | 1691 River Rd, Clinton, ME 04927-3837 | 2009-07-08 |
| 1861706954 | Stephen Wicker | Pharmacist | 1144 Main St., Clinton, ME 04927-3906 | 2010-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750478 | Latibbie Cavett | Counselor | 1311 Rosemont Dr, Clinton, MS 39056-3954 | 2020-11-05 |
| 1346841582 | Autumn Brooke Trifone | Pharmacist | 1795 In 163, Clinton, IN 47842 | 2020-11-04 |
| 1437758794 | Rachel Marie Hensley | Case Manager/Care Coordinator | 320 Red Frk, Clinton, OK 73601-3644 | 2020-10-19 |
| 1639778061 | Kellie Young | Pharmacy Technician | 9004 Townsend Ln, Clinton, MD 20735-2870 | 2020-10-16 |
| 1790383453 | Sabrina Schotte Cook | Counselor | 10126 N Us Highway 421, Clinton, NC 28328-0271 | 2020-10-15 |
| 1790383594 | Elite Caregivers Nursing Agency LLC | Home Health | 6821 Purple Lilac Ln, Clinton, MD 20735-4087 | 2020-10-14 |
| 1891393930 | Sh1 Barrington Place LLC | Alzheimer Center (Dementia Center) | 1404 N 2000 W, Clinton, UT 84015-8364 | 2020-10-12 |
| 1467050617 | Maria Annette Seale | Technician | 504 Merganser Trl, Clinton, MS 39056-6262 | 2020-10-10 |
| 1447857909 | Marinda Renee Bryan | Pharmacist | 2526 Hwy 65 S. Ste 101, Clinton, AR 72031 | 2020-10-07 |
| 1790382398 | Katelynn Marie Faulkner | Psychologist | 1 Old Plank Rd # 1d, Clinton, NY 13323-1802 | 2020-10-06 |
| Find all providers in CLINTON | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164030367 | Sara Ann Costly | Registered Nurse | 212 Bingham Dr, Clinton, TN 37716-7146 | 2020-07-14 |
| 1861013799 | Destiny Ann Ballew | Registered Nurse | 139 Ozella Ln, Clinton, TN 37716-6224 | 2020-05-01 |
| 1922645589 | Elise Ades Milliman | Registered Nurse | 113 Oakhurst Dr, Clinton, MS 39056-3121 | 2019-12-03 |
| 1508401357 | Ebone Williams | Registered Nurse | 114 Cherokee Trl, Clinton, MS 39056-3161 | 2019-11-14 |
| 1275174401 | Kari Leanne Barnett | Registered Nurse | 906 N Us Highway 421, Clinton, NC 28328-0410 | 2019-09-29 |
| 1851940951 | Annisha Jones | Registered Nurse | 316 Kirkwood Dr, Clinton, MS 39056-5882 | 2019-09-10 |
| 1386207975 | Tammy Binger | Registered Nurse | 22725 U.S. 76, Clinton, SC 29325 | 2019-04-18 |
| 1174085633 | Advance Healthcare Providers LLC | Registered Nurse | 2709 Pumpkin St, Clinton, MD 20735-1057 | 2019-04-03 |
| 1922577519 | Amanda Brown | Registered Nurse | 62 Utica St, Clinton, NY 13323-1528 | 2018-11-13 |
| 1619475548 | Judith Ann Kenning | Registered Nurse | 4188 Winns Hollow Ln Unit 1, Clinton, WA 98236-8429 | 2018-01-25 |
| Find all providers in CLINTON | ||||
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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.