SHELLEY R WILLIAMS (NPI# 1528331063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528331063 |
| Entity Type | Individual |
| Full Name | SHELLEY R WILLIAMS |
| Other Name | SHELLEY R SHOCKLEY |
| Credential | RN, CDE |
| Practice Address |
1707 W Charleston Blvd Suite 200 Las Vegas NV 89102-2351 |
| Mailing Address |
1707 W Charleston Blvd #200 Las Vegas NV 89102-2351 |
| Practice Telephone | 7026716469 |
| Practice Fax Number | 7026715090 |
| Mailing Telephone | 7026716469 |
| Mailing Fax Number | 7026715090 |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2017-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
RN31640 | NV | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CERTIFIED DIABETES EDUCATOR | 20910538 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689108698 | Shelley June Williams | Registered Nurse | 4281 Sw Emerald Ave, Gresham, OR 97080-8630 | 2017-04-17 |
| 1902181050 | Shelley Williams | Speech-Language Pathologist | 9032 25th Ave Sw, #301j, Seattle, WA 98106-3246 | 2011-10-19 |
| 1184758732 | Shelley Theresa Williams | Occupational Therapist | 2300 Cedarfield Pkwy, Richmond, VA 23233-1936 | 2007-03-15 |
| 1881735363 | Shelley I. Williams | Speech-Language Pathologist | 731 Cedar St, Roanoke Rapids, NC 27870-2505 | 2007-02-09 |
| 1598803991 | Shelley Lynne Williams | Family Medicine | 8240 Georgia Ave, 102, Silver Spring, MD 20910-4511 | 2007-02-01 |
| 1750384111 | Shelley Williams | Optometrist | 2200 Forum Blvd, 102, Columbia, MO 65203-2700 | 2005-05-31 |
| 1518575992 | Shelley Marie Williams | Nurse Practitioner | 4950 Barranca Pkwy, Irvine, CA 92604-4671 | 2020-07-21 |
| 1124554969 | Shelley L Williams | Psychologist | 3554 Chain Bridge Rd, Fairfax, VA 22030-2709 | 2017-05-11 |
| 1740248590 | Shelley D Williams | Psychiatry & Neurology | 90 Presidential Plz, 4th Floor, Syracuse, NY 13202-2240 | 2006-05-02 |
| Street Address |
1707 W CHARLESTON BLVD SUITE 200 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-2351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750377693 | Miracle Wangsuwana | Psychiatry & Neurology | 1707 W Charleston Blvd, Suite #220, Las Vegas, NV 89102-2351 | 2005-09-26 |
| 1073040127 | Evan Drew Davis | Student in an Organized Health Care Education/Training Program | 1707 W Charleston Blvd, Las Vegas, NV 89102-2351 | 2017-05-19 |
| 1336674969 | Bobby Karandeep Singh Brar | Student in an Organized Health Care Education/Training Program | 1707 W Charleston Blvd, Suite 120, Las Vegas, NV 89102-2351 | 2017-04-20 |
| 1497280036 | Pooja Patil | Student in an Organized Health Care Education/Training Program | 1707 W Charleston Blvd, Suite 120, Las Vegas, NV 89102-2351 | 2017-04-20 |
| 1346772597 | Angela Hui-chia Liu | Student in an Organized Health Care Education/Training Program | 1707 W Charleston Blvd, Suite 120, Las Vegas, NV 89102-2351 | 2017-03-28 |
| 1902345077 | Ankita Raman | Student in an Organized Health Care Education/Training Program | 1707 W Charleston Blvd, Ste 120, Las Vegas, NV 89102-2351 | 2017-02-22 |
| 1669852513 | Cameron Lasley | Student in an Organized Health Care Education/Training Program | 1707 W Charleston Blvd, Suite 290, Las Vegas, NV 89102-2351 | 2015-06-05 |
| 1043627508 | Richard Witty Jr. | Dentist | 1707 W Charleston Blvd, Suite 290, Las Vegas, NV 89102-2351 | 2014-07-16 |
| 1346657285 | Jacqueline Sanders Delaney | Dentist | 1707 W Charleston Blvd, Suite 290, Las Vegas, NV 89102-2351 | 2014-07-11 |
| 1710305156 | Ali Osama Malik | Internal Medicine | 1707 W Charleston Blvd, Las Vegas, NV 89102-2351 | 2014-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
| Find all providers in zip 89102 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164976049 | Kristina M Knutson | Registered Nurse | 4750 W Oakey Blvd, Suite 4c, Las Vegas, NV 89102-1535 | 2016-08-09 |
| 1306213681 | Robert Lopez | Registered Nurse | 2650 Lake Sahara Dr, Suite 100, Las Vegas, NV 89117-3437 | 2015-08-21 |
| 1710137864 | Tiffany Marie Paulsen | Registered Nurse | 4750 W Oakey Blvd, Las Vegas, NV 89102-1535 | 2008-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417590365 | Comprehensive Diabetes Services | Registered Nurse | 514 Seneca Ridge Ave, North Las Vegas, NV 89084-1314 | 2019-10-23 |
| 1629323852 | Mary Katherine Diethrich | Registered Nurse | 2070 Severn Dr, Reno, NV 89503-2246 | 2012-07-13 |
| 1245853936 | Rachel Johnson | Registered Nurse | 171 Campbell Ln, Yerington, NV 89447-9768 | 2020-05-28 |
| 1487958005 | Jan Lienke Boyer | Registered Nurse | 239 Flora Dr, Spring Creek, NV 89815-5126 | 2010-12-23 |
| 1760567770 | Patricia Lynn Sicherman | Registered Nurse | 1001 Rio Vista St, Fallon, NV 89406-5463 | 2006-10-26 |
Please comment or provide details below to improve the information on SHELLEY R WILLIAMS.
| 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.