SHELLY RENEA OBASOLUYI (NPI# 1508424029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508424029 |
| Entity Type | Individual |
| Full Name | SHELLY RENEA OBASOLUYI |
| Practice Address |
403 Atwell Dr Fayetteville NC 28314-0122 |
| Practice Telephone | 9102608842 |
| Mailing Telephone | 9102608842 |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
NC | Ambulatory Health Care Facilities |
| Street Address |
403 ATWELL DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28314-0122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528677812 | Lamonica Laveta Greene | Massage Therapist | 7804 Loxley Drive, Fayetteville, NC 28314 | 2020-07-23 |
| 1467086496 | The Pair Center for Couples Counseling Pllc | Counselor | 5085 Morganton Road, Suite 300, Fayetteville, NC 28314 | 2020-02-28 |
| 1346898335 | Chaitanya Joopally Dds Pllc | Dentist | 2050 Skibo Rd. Ste 104, Fayetteville, NC 28314 | 2019-09-03 |
| 1780231894 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 2360 Williamwood Lane, Fayetteville, NC 28314 | 2019-08-22 |
| 1164075982 | A Touch of Grace Inc | Day Training/Habilitation Specialist | 2153 Heathcote Drive, Fayetteville, NC 28314 | 2019-07-21 |
| 1093284465 | Candice Gorremans | Physician Assistant | 108th Air Defense Artillery Brigade, Fort Bragg, NC 28314 | 2018-11-15 |
| 1861983439 | Jessica Lynne Smith | Counselor | 6885 Cliffdale Rd Ste 2002, Fayetteville, NC 28314 | 2018-05-19 |
| 1073003752 | Gooden Mobile Pod Nc Pllc | Podiatrist | 311 Mcfadyen Dr, Fayetteville, NC 28314 | 2018-05-17 |
| 1093222101 | Lauren Bonneau | Behavioral Analyst | 6985 Nexus Ct, Suite 107, Fayetteville, NC 28314 | 2018-01-10 |
| 1760900153 | Elali Alisha Marie Moukwa | Dentist | 1916 Skibo Rd Ste C3, Fayetteville, NC 28314 | 2017-09-06 |
| Find all providers in zip 28314 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487100210 | Sinus & Allergy Solutions Pa | Clinic/Center | 2053 Valleygate Dr Ste 101, Fayetteville, NC 28304-3983 | 2016-08-31 |
| 1346672201 | Bob Inman Incorporated | Clinic/Center | 3410 Lainey Ln, B, Fayetteville, NC 28314-2541 | 2013-08-02 |
| 1508298449 | Bob Inman Incorporated | Clinic/Center | 5111 Shady Lawn Dr, Fayetteville, NC 28348-3484 | 2013-08-02 |
| 1275882086 | Planned Parenthood of Arkansas and Eastern Oklahoma, Inc | Clinic/Center | 3729 N. Crossover Rd, Ste 107, Fayetteville, AR 72703-5538 | 2012-09-07 |
| 1881650497 | Washington Regional Medical System | Clinic/Center | 82 W Sunbridge, Fayetteville, AR 72703 | 2006-04-22 |
| 1215482112 | Sunrise Specialty Clinic | Clinic/Center | 134 Hay St, Fayetteville, NC 28301-5650 | 2016-08-20 |
| 1780047068 | Families for Families Service Agency | Clinic/Center | 4542 Raeford Rd, Suite A8, Fayetteville, NC 28304-3207 | 2016-04-03 |
| 1215352976 | Max Motion Physical Therapy, LLC | Clinic/Center | 2014 Litho Pl, Fayetteville, NC 28304-2518 | 2014-03-04 |
| 1669703674 | Benchmark Physical Therapy, Inc | Clinic/Center | 1275 Highway 54 W Ste 200, Fayetteville, GA 30214-4538 | 2010-01-15 |
| 1396994240 | Eastcoast Diagnostics & Sleep Centers, Inc. | Clinic/Center | 1830 Owen Dr, Suite 103, Fayetteville, NC 28304-1611 | 2008-09-16 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28314 |
Please comment or provide details below to improve the information on SHELLY RENEA OBASOLUYI.
| 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.