SHELLY LYNN ELAM (NPI# 1225353584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225353584 |
| Entity Type | Individual |
| Full Name | SHELLY LYNN ELAM |
| Credential | FNP-BC |
| Practice Address |
1805 Point West Parkway Suite 100 Amarillo TX 79124 |
| Practice Telephone | 8064188620 |
| Practice Fax Number | 8064188626 |
| Mailing Telephone | 8064188620 |
| Mailing Fax Number | 8064188626 |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2013-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
588845 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1805 POINT WEST PARKWAY SUITE 100 |
| City | AMARILLO |
| State | TX |
| Zip Code | 79124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295790707 | Daniel Jay Hendrick | Internal Medicine | 1805 Point West Parkway, Suite 100, Amarillo, TX 79124 | 2006-04-18 |
| 1528249745 | Adan Gonzalez | Internal Medicine | 1805 Point West Parkway, Suite 100, Amarillo, TX 79124 | 2007-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144793357 | Bushland Drug, LLC | Pharmacy | 1600 S. Fm 2381, Amarillo, TX 79124 | 2019-01-10 |
| 1134691017 | Linda Darlene Podzemny | Counselor | 5250 Cliffside Road, Amarillo, TX 79124 | 2018-12-17 |
| 1356831721 | Amarillo Vii Enterprises, LLC | Skilled Nursing Facility | 1625 Point West Parkway, Amarillo, TX 79124 | 2018-05-11 |
| 1770092066 | Ama Ruby Slippers Care Inc | Home Health | 2300 N Western, Amarillo, TX 79124 | 2017-09-29 |
| 1164948451 | Saturnino Cogefar Salera | Nurse Practitioner | 203 Banks Dr, Amarillo, TX 79124 | 2017-08-17 |
| 1841714854 | Nathaniel Ryan Arismendez | Physical Therapist | 6900 John David Circle, Amarillo, TX 79124 | 2017-08-01 |
| 1811387368 | Aua Surgical Center, LLC | Clinic/Center | 8207 West Amarillo Blvd, Amarillo, TX 79124 | 2015-02-04 |
| 1053670349 | Melissa Suzanne Jones | Nurse Practitioner | 24 Care Cirlce, Amarillo, TX 79124 | 2012-05-08 |
| 1811172422 | Ammar Jarrous Md Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6810 Plum Creek, Amarillo, TX 79124 | 2008-01-02 |
| 1043405913 | Wesley Scott Nickens | Family Medicine | 603 Quail Creek Dr Spc 300, Amarillo, TX 79124 | 2007-09-12 |
| Find all providers in zip 79124 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083229629 | Donna Jeannette Mccauley | Nurse Practitioner | 7407 Imperial Dr, Amarillo, TX 79121-1429 | 2020-09-10 |
| 1902414998 | Sarah Jane Fisk | Nurse Practitioner | 1901 Medi Park Dr Ste 103, Amarillo, TX 79106-2106 | 2020-07-16 |
| 1801410063 | Jeannette Sandoval | Nurse Practitioner | 2329 Ross Osage, Amarillo, TX 79103-3000 | 2020-06-03 |
| 1962044941 | Donna Raef Kizziar | Nurse Practitioner | Bsa Urgent Care Clinic, 4510 Bell St., Amarillo, TX 79109 | 2019-10-11 |
| 1225679400 | Wendy Dawn Guest | Nurse Practitioner | 7716 Pinnacle Dr, Amarillo, TX 79119-7494 | 2019-09-30 |
| 1326609835 | Chelsea Beth Stevens | Nurse Practitioner | 609 S Carolina St, Amarillo, TX 79106-8721 | 2019-06-25 |
| 1184187759 | Lauren Altendorf | Nurse Practitioner | 3501 S Soncy Rd Ste 110, Amarillo, TX 79119-6405 | 2019-04-10 |
| 1851853311 | Sandra Renee Morris Boyd | Nurse Practitioner | 20001 Wind River Dr, Amarillo, TX 79124-1682 | 2019-04-03 |
| 1245795780 | Monica Favela Prieto | Nurse Practitioner | Bsa Urgent Care Clinc, 4510 Bell St., Amarillo, TX 79109 | 2019-02-08 |
| 1609349042 | Sarah Price | Nurse Practitioner | 5109 Navajo Trl, Amarillo, TX 79110-4635 | 2019-01-08 |
| Find all providers in AMARILLO | ||||
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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.