SHELLEY GASCH (NPI# 1568988145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568988145 |
| Entity Type | Individual |
| Full Name | SHELLEY GASCH |
| Credential | FNP-C |
| Practice Address |
94 Bay Front Ln Port Lavaca TX 77979-2704 |
| Mailing Address |
94 Bayfront Ln Port Lavaca TX 77979-2704 |
| Practice Telephone | 3616480321 |
| Practice Fax Number | 3616480321 |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2017-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9456214 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
94 BAY FRONT LN |
| City | PORT LAVACA |
| State | TX |
| Zip Code | 77979-2704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719836 | Memorial Medical Center | Nursing Care | 118 Trinity Shores Drive, Port Lavaca, TX 77979 | 2019-09-18 |
| 1972083475 | Kelly Leigh Meyer | Occupational Therapy Assistant | Port Lavaca Nursing and Rehabilitation Center, 524 Village Rd, Port Lavaca, TX 77979 | 2018-08-15 |
| 1679943393 | Vrinda Mohunta | Dentist | 204 Tx-35, Port Lavaca, TX 77979 | 2015-10-07 |
| 1770999344 | Smile Experts Pllc | Dentist | 204 State Hwy 35 South, Port Lavaca, TX 77979 | 2014-07-03 |
| 1083927636 | Calhoun Home Health, LLC | Home Health | 1300 N Virginia St Ste 111, Port Lavaca, TX 77979 | 2010-07-23 |
| 1740423490 | Diana E. Garcia | Case Manager/Care Coordinator | 3272 U.S. Hwy 87, Port Lavaca, TX 77979 | 2009-04-10 |
| 1982844940 | Gillian V. Kwi | Dentist | 1112 Half League Rd, Port Lavaca, TX 77979 | 2009-03-03 |
| 1003054057 | Ngale Ndiva Mongoh | Pharmacist | 325 S. Hwy. 35 By Pass, Port Lavaca, TX 77979 | 2009-01-29 |
| 1326248592 | Nichole Lynn Bruno | Nurse Practitioner | 1300 N. Virginia Street, Port Lavaca, TX 77979 | 2007-07-24 |
| 1518168855 | Calhoun County Senior Citizens Assoc. Inc. | Home Delivered Meals | 2104 W Austin St., Port Lavaca, TX 77979 | 2007-05-31 |
| Find all providers in zip 77979 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902456536 | Tiffany Nicole Thompson | Nurse Practitioner | 130 Blinka Ln, Port Lavaca, TX 77979-5662 | 2019-09-16 |
| 1043734882 | Michael Leon Gaines | Nurse Practitioner | 220 Bonham St, Port Lavaca, TX 77979-2605 | 2017-08-02 |
| 1134776545 | Kristi Boyd | Nurse Practitioner | 815 N Virginia St, Port Lavaca, TX 77979-3025 | 2019-08-20 |
| 1124502596 | Henry Salinas II | Nurse Practitioner | 1200 N Virginia St, Port Lavaca, TX 77979-2588 | 2018-09-20 |
| 1487153573 | Destiny Ibrom | Nurse Practitioner | 1200 N Virginia St, Port Lavaca, TX 77979-2507 | 2018-02-05 |
| 1891220638 | Michael Allen Pfeil Jr. | Nurse Practitioner | 1016 N Virginia St, Port Lavaca, TX 77979-3000 | 2017-05-01 |
| 1669857157 | Traci Shefcik | Nurse Practitioner | 815 N Virginia St, Port Lavaca, TX 77979-3025 | 2015-07-24 |
| 1073997524 | Courtne Thurlkill | Nurse Practitioner | 815 N Virginia St, Port Lavaca, TX 77979-3025 | 2015-07-15 |
| 1780071506 | Michael Caughron | Nurse Practitioner | 1200 N Virginia St, Port Lavaca, TX 77979-2507 | 2015-04-20 |
| 1609887439 | Shanna O'donnell | Nurse Practitioner | 1016 N Virginia St, Port Lavaca, TX 77979 | 2006-08-10 |
| Find all providers in PORT LAVACA | ||||
| City | PORT LAVACA |
| Zip Code | 77979 |
Please comment or provide details below to improve the information on SHELLEY GASCH.
| 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.