SHELLY ANN O'CONNOR (NPI# 1265877757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265877757 |
| Entity Type | Individual |
| Full Name | SHELLY ANN O'CONNOR |
| Other Name | SHELLY ANN MCCOY |
| Credential | R.T.(R)(ARRT) |
| Practice Address |
1501 San Pedro Dr Se Albuquerque NM 87108-5153 |
| Practice Telephone | 5052651711 |
| Mailing Telephone | 5052651711 |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2013-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | 10549 | NM | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942551551 | Shelly O'connor | Social Worker | 501 Union St Fl 6, Nashville, TN 37219-1705 | 2012-09-21 |
| Street Address |
1501 SAN PEDRO DR SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87108-5153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619964293 | Pamela Walton Mccoy | Pharmacist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2005-09-29 |
| 1750981627 | Mae Maiefski | Speech-Language Pathologist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-10-29 |
| 1891300133 | Julianna Nacion | Occupational Therapist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-09-14 |
| 1376155614 | Jeffrey Shaffer | Pharmacist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-08-18 |
| 1851901490 | Tiffany Le Nguyen | Pharmacist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-08-07 |
| 1073123063 | Wasan Cartwright Jr. | Nurse Practitioner | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-08-04 |
| 1083223069 | Denise Lorraine Bennett | Social Worker | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-07-27 |
| 1073139168 | Ryan Charles Warner | Psychologist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-06-24 |
| 1356965321 | Lemont Yazzie | Technician | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-06-04 |
| 1407470479 | Lamont Yazzie II | Technician | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274393 | Aubrey Bunnenberg | Behavior Technician | 114 Pennsyvlania St. Ne Apt. 1, Albuquerque, NM 87108 | 2020-08-06 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1457990046 | Christine Lovato | Registered Nurse | Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 | 2019-12-30 |
| 1265074405 | Andrew Jacob Reuter | Pharmacist | 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 | 2019-10-09 |
| 1518517325 | Lillian Abeyta | Technician | 1501 San Pedro Dr Se., Albuquerque, NM 87108 | 2019-09-13 |
| 1962970061 | Donald Borrego | Occupational Therapy Assistant | 5200 Copper Ne, #7, Albuquerque, NM 87108 | 2018-11-06 |
| 1154808012 | Catalina Castro | Social Worker | 209 San Pablo Se, Albuquerque, NM 87108 | 2018-07-24 |
| 1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
| 1467981860 | Jennifer Martinez | Behavior Technician | 628 Espanola Se, Albuquerque, NM 87108 | 2017-06-08 |
| 1457892465 | J Dowd Counseling LLC | Counselor | 514 Monroe Street Se, Albuquerque, NM 87108 | 2017-03-10 |
| Find all providers in zip 87108 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366850950 | Jonathan Chavez | Radiologic Technologist | 1722 Truman St Ne, Albuquerque, NM 87110-5854 | 2014-07-26 |
| 1447553607 | Mauro S Nava | Radiologic Technologist | 1804 June St Ne, Albuquerque, NM 87112-3146 | 2010-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265982870 | Erin Grissman | Radiologic Technologist | 3260 Venus St, Las Cruces, NM 88012-7753 | 2016-10-06 |
| 1568605087 | Jeananne Mazzolini | Radiologic Technologist | 2105 West 21st Street, Suite A, Clovis, NM 88101-4086 | 2009-04-14 |
| 1942688361 | Heather Fure | Radiologic Technologist | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2015-05-18 |
| 1952732000 | Michael Lee Romero | Radiologic Technologist | 1397 Weimer Rd, Taos, NM 87571-6253 | 2013-11-27 |
| 1487890315 | Guadalupe Renee Rosas | Radiologic Technologist | 110 Sheep Springs Rd., Jemez Pueblo, NM 87024 | 2008-12-24 |
| 1477649523 | Maybelle Holiday-descheny | Radiologic Technologist | 318 Abalone Loop, Mescalero Indian Hospital, Mescalero, NM 88340-0210 | 2006-10-05 |
| 1689650913 | Joanna N Atencio | Radiologic Technologist | Us Hwy 491 North, Shiprock, NM 87420 | 2005-12-19 |
| 1255317566 | Sarah Manuelito | Radiologic Technologist | Us Hwy 491 N, Shiprock, NM 87420 | 2005-12-19 |
| 1881679322 | John Nmi Dinae Jr. | Radiologic Technologist | Us Hwy 491 North, Shiprock, NM 87420 | 2005-12-07 |
| 1699750133 | Michael Jon King | Radiologic Technologist | Us Hwy 491 North, Shiprock, NM 87420 | 2005-12-07 |
| Find all providers with the same taxonomy | ||||
| City | ALBUQUERQUE |
| Zip Code | 87108 |
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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.