SHELLY GUILLORY (NPI# 1528373362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528373362 |
| Entity Type | Individual |
| Full Name | SHELLY GUILLORY |
| Credential | APRN |
| Practice Address |
1905 Elder Hill Rd Driftwood TX 78619-2102 |
| Practice Telephone | 5123246767 |
| Mailing Telephone | 5128246767 |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2017-04-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
4963175-3102 | UT | Nursing Service Providers |
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP129246 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033321765 | Shelly L. Guillory | Optometrist | 2025 Sam's Way, Sam's Optical, Lake Charles, LA 70601 | 2007-05-04 |
| 1104865336 | Shelly Kaye Guillory | Nurse Practitioner | 1614 Wolf Cir, Lake Charles, LA 70605-2348 | 2006-06-05 |
| Street Address |
1905 ELDER HILL RD |
| City | DRIFTWOOD |
| State | TX |
| Zip Code | 78619-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497223531 | Bradley H Kennedy | Counselor | 1905 Elder Hill Rd, Driftwood, TX 78619-2102 | 2018-11-07 |
| 1174019574 | Ramon Jacob Umanzor | Counselor | 1905 Elder Hill Rd, Driftwood, TX 78619-2102 | 2018-07-09 |
| 1124577440 | Obrc Operations, LLC | Substance Abuse Rehabilitation Facility | 1905 Elder Hill Rd, Driftwood, TX 78619-2102 | 2016-09-28 |
| 1477991826 | Melanie A Merlich Somerville | Counselor | 1905 Elder Hill Rd, Driftwood, TX 78619 | 2013-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104958891 | Robbie W Burdeniuk | Registered Nurse | 188 Southern Sunset Cv, Driftwood, TX 78619-1501 | 2007-03-09 |
| 1851605802 | Imperial Med Services, LLC | Specialist | 188 Southern Sunset Cv, Driftwood, TX 78619-1501 | 2010-08-02 |
| 1225165301 | Steven Vincent Malone | Physical Therapist | 2974 La Ventana Pkwy, Driftwood, TX 78619-4266 | 2007-02-27 |
| 1881806461 | Laura Elizabeth Anton | Pediatrics | 313 Shelf Rock, Driftwood, TX 78619-4377 | 2007-05-04 |
| 1225108913 | Kathryn Monica Gomez-flaming | Nurse Practitioner | 199 Pine Post Cv, Driftwood, TX 78619-4443 | 2006-11-09 |
| 1194374769 | Michael David Yerger | Technician | 710 Hawthorne Loop, Driftwood, TX 78619-4450 | 2019-09-06 |
| 1043869613 | Rebecca Price Yerger | Technician | 710 Hawthorne Loop, Driftwood, TX 78619-4450 | 2019-09-06 |
| 1225654692 | Hannah Eubank | Counselor | 1850 Elder Hill Rd Unit D, Driftwood, TX 78619-5501 | 2020-06-22 |
| 1164053807 | Taylor Renee Britton | Student in an Organized Health Care Education/Training Program | 226 Marigold Ct, Driftwood, TX 78619-5738 | 2020-01-31 |
| 1699381103 | Isabelle Camboulives Xenos | Massage Therapist | 265 Heatherwood Dr, Driftwood, TX 78619-8078 | 2020-09-20 |
| Find all providers in zip 78619 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225108913 | Kathryn Monica Gomez-flaming | Nurse Practitioner | 199 Pine Post Cv, Driftwood, TX 78619-4443 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1891396586 | Stacey Lynne Ready | Nurse Practitioner | 200 Uptmore Rd, West, TX 76691-2339 | 2020-11-08 |
| 1992306609 | Jillian Mcclintock | Nurse Practitioner | 2506 Graystone Ln, Corinth, TX 76210-1607 | 2020-11-08 |
| 1851992515 | Stacie A Gregg | Nurse Practitioner | 1229 Johnny Ln, San Angelo, TX 76905-2331 | 2020-11-07 |
| 1285235929 | Activate Family Health, Pllc | Nurse Practitioner | 203 E Davis St Ste F-1026, Conroe, TX 77301-3159 | 2020-11-07 |
| 1629679782 | Kristen Aili Johnson | Nurse Practitioner | 3850 Fm 18, Abilene, TX 79602-2004 | 2020-11-05 |
| 1376144303 | Stephanie Renee Knight | Nurse Practitioner | 4326 Egret Dr, Seabrook, TX 77586-2557 | 2020-11-05 |
| 1457952319 | Olufunke Oyindamola Oshoba | Nurse Practitioner | 200 Odyssey Ln, Mansfield, TX 76063-3438 | 2020-11-05 |
| 1518568419 | Ian Mardis | Nurse Practitioner | 12528 Tierra Encino Dr, El Paso, TX 79938-4525 | 2020-11-05 |
| 1851992994 | Angela Davis | Nurse Practitioner | 9523 Scanlan Heights Ln, Missouri City, TX 77459-5503 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
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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.