MRS. SHELLEY J HANCOCK (NPI# 1336184308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336184308 |
| Entity Type | Individual |
| Full Name | MRS. SHELLEY J HANCOCK |
| Credential | PA |
| Practice Address |
3850 S National Ave Suite 600 Springfield MO 65807-5287 |
| Mailing Address |
1338 E Compton St Springfield MO 65804-4248 |
| Practice Telephone | 4178824880 |
| Mailing Telephone | 4178872492 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548491913 | Shelley Ann Hancock | Speech-Language Pathologist | 2125 Royce St, Portsmouth, OH 45662-4714 | 2009-08-04 |
| 1528232899 | Shelley N Hancock | Pediatrics | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2008-04-17 |
| Street Address |
3850 S NATIONAL AVE SUITE 600 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-5287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548264971 | Michael A Albritton | Specialist | 3850 S National Ave, Ste 100, Springfield, MO 65807-5287 | 2005-06-13 |
| 1982245767 | Rebecca Lynn Smading | Nurse Practitioner | 3850 S National Ave, Springfield, MO 65807-5287 | 2019-10-03 |
| 1932645744 | Lester E Cox Medical Centers | Internal Medicine | 3850 S National Ave, Springfield, MO 65807-5287 | 2017-01-18 |
| 1033652870 | Karrie Derenski | Pharmacist | 3850 S National Ave, Suite 200, Springfield, MO 65807-5287 | 2016-11-28 |
| 1518307487 | Kathleen Martin | Nurse Practitioner | 3850 S National Ave, Suite 600, Springfield, MO 65807-5287 | 2013-06-25 |
| 1124319439 | Christine A Czachowski | Nurse Practitioner | 3850 S National Ave, Springfield, MO 65807-5287 | 2011-04-21 |
| 1083903785 | Nicholas Andrew Madden | Radiology | 3850 S National Ave, Springfield, MO 65807-5287 | 2011-04-04 |
| 1326345042 | Candise Elaine Jordan | Nurse Practitioner | 3850 S National Ave, Suite 600, Springfield, MO 65807-5287 | 2011-02-15 |
| 1790098580 | Denise R Moore | Registered Nurse | 3850 S National Ave, 520, Springfield, MO 65807-5287 | 2010-07-21 |
| 1407174782 | Srikant Nannapaneni | Internal Medicine | 3850 S National Ave, Suite 520, Springfield, MO 65807-5287 | 2010-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871122168 | Alexandra Emmanuelle Rochman | Physician Assistant | 54 W Crystal Brook Dr, Springfield, MA 01118-1946 | 2020-04-07 |
| 1740740737 | Western New England University | Physician Assistant | 215 Wilbraham Road, Springfield, MA 01119 | 2019-03-25 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| 1770850216 | Lauren Jennifer Navas | Physician Assistant | 100 River St Ste 2, Springfield, VT 05156-2930 | 2011-11-29 |
| 1295885168 | Jacqueline Kernaghan | Physician Assistant | 723 Saxer Ave, Springfield, PA 19064-3503 | 2007-01-11 |
| 1295746733 | Gwen Wright | Physician Assistant | 194 W Sproul Rd, Suite 105, Springfield, PA 19064-2027 | 2006-08-10 |
| 1164490710 | Stacie L Pierce | Physician Assistant | 3721 W El Castile St, Springfield, MO 65807-5431 | 2006-03-09 |
| 1245206432 | Annette K Bates | Physician Assistant | 819 Worcester St Ste 3, Springfield, MA 01151-1056 | 2006-02-27 |
| 1518947159 | Louis Patrick Favata | Physician Assistant | 140 High St., Springfield, MA 01199 | 2006-01-19 |
| 1649257031 | Scott D Rubin | Physician Assistant | 3400 Main Street, Springfield, MA 01107-1113 | 2005-12-27 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
Please comment or provide details below to improve the information on MRS. SHELLEY J HANCOCK.
| 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.