MS. SHELLY M. LEITCH


Address: 416 Highway 87, Teen Health Center, Inc.-crenshaw, Crystal Beach, TX 77650
Phone: 4097665750

MS. SHELLY M. LEITCH (NPI# 1346307634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346307634
Entity Type Individual
Full Name MS. SHELLY M. LEITCH
Credential RN, MSN, CPNP
Practice Address 416 Highway 87
Teen Health Center, Inc.-crenshaw
Crystal Beach
TX 77650
Mailing Address 300 Seacrest Blvd
League City
TX 77573-9231
Practice Telephone 4097665750
Mailing Telephone 2815382722
Enumeration Date 2007-01-03
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
453991 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 416 HIGHWAY 87
TEEN HEALTH CENTER, INC.-CRENSHAW
City CRYSTAL BEACH
State TX
Zip Code 77650

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245795590 Galveston County Emergency Services District -2 Ambulance 930 Noble Carl Drive, Crystal Beach, TX 77650 2019-01-31
1851694137 Mary Ellen Bestani Acupuncturist 957 Gulf Rd, Crystal Beach, TX 77650 2010-12-08
1578889333 Pamela Goza-quiroga Respite Care 1402 15th Street, Port Bolivar, TX 77650 2010-04-19
1508834052 Crystal Beach Volunteer Fire Ambulance Highway 87, Crystal Beach, TX 77650 2006-03-10
1124096680 Port Bolivar Vfn & Ems Ambulance 1806 Loop 108, Port Bolivar, TX 77650 2006-03-10
1942298823 St. Christopher Medical Clinic, Inc. Clinic/Center 1698 Highway 87, Crystal Beach, TX 77650 2005-10-13
1972598977 Bruce Lever Mitchell Physician Assistant 2275 Hwy 87, Ste. 18a, Crystal Beach, TX 77650-1367 2005-09-15
1114948825 Crystal Beach Medical Clinic LLC Family Medicine 955 S. East Rd., Crystal Beach, TX 77650-1449 2006-07-21
1619151107 Michael F Rodgers Licensed Vocational Nurse 1282 Boyt Rd, Crystal Beach, TX 77650-2033 2007-12-20
1194852863 J & J Pharmacy Pharmacy Technician 1811 Hwy 87, Crystal Beach, TX 77650-2501 2007-02-28
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1770182636 Jenna Donlon Nurse Practitioner 3201 Western Center Blvd Ste 125, Fort Worth, TX 76137-7135 2020-10-21
1356949697 Elizabeth Danielle Harrington Nurse Practitioner 213 Woodbine Dr, Burleson, TX 76028-6175 2020-10-09
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1679189567 Jessica Dawn Crow Nurse Practitioner 801 Nuthatch Ct, Northlake, TX 76226-2863 2020-09-16
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Competitor

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City CRYSTAL BEACH
Zip Code 77650

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Dataset Information

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.

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