MS. SHALITHA SHELBY (NPI# 1588968895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588968895 |
| Entity Type | Individual |
| Full Name | MS. SHALITHA SHELBY |
| Practice Address |
3917 Orlando Springs Dr Fort Worth TX 76123-1485 |
| Mailing Address |
Po Box 1334 Fort Worth TX 76101-1334 |
| Practice Telephone | 8177291150 |
| Mailing Telephone | 8177291150 |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2012-10-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities | ||
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| N | 385HR2050X |
Respite Care Specialization: Respite Care Camp |
TX | Respite Care Facility | |
| N | 385HR2050X |
Respite Care Specialization: Respite Care Camp |
Respite Care Facility | ||
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility | ||
| N | 385HR2065X |
Respite Care Specialization: Respite Care, Physical Disabilities, Child |
Respite Care Facility | ||
| N | 172V00000X | Community Health Worker | Other Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
3917 ORLANDO SPRINGS DR |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76123-1485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440146 | Ismile Dental At The Chisolm Trail Pllc | Dentist | 5513 Sycamore School Rd, Fort Worth, TX 76123 | 2020-09-08 |
| 1558916361 | Nimu Pllc | Dentist | 5325 Mcpherson Blvd, Suite 120, Fort Worth, TX 76123 | 2019-08-08 |
| 1306361431 | Kelley Phillips | Counselor | 5013 Pallas Court, Fort Worth, TX 76123 | 2017-08-09 |
| 1396280756 | Chisholm Trail Emergency Center | Clinic/Center | 5500 Sycamore School Rd., Ste. 150, Fort Worth, TX 76123 | 2016-12-21 |
| 1457801391 | Point of Grace Home Health | Registered Nurse | 2533 Mill Spring Pass, Fort, TX 76123 | 2016-10-04 |
| 1992253306 | Jason Bowers | Specialist/Technologist, Other | 5316 Quail Feather Dr, Fort Worth, TX 76123 | 2016-09-14 |
| 1831546944 | Kalima Charway | Psychologist | 4532 Endercrest Lane, Fort Worth, TX 76123 | 2016-05-18 |
| 1033551577 | Michael Rose | Specialist | 4924 Belladonna Dr, Fort Worth, TX 76123 | 2013-07-25 |
| 1265871768 | Anna Uppal | Dentist | 100 Wolfe Nursery Street, 180, Stephenville, TX 76123 | 2013-06-18 |
| 1366880627 | Mesa Springs, LLC | Psychiatric Hospital | 5560 Mesa Springs Drive, Fort Worth, TX 76123 | 2013-06-10 |
| Find all providers in zip 76123 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114559127 | Dayton Gibbs | Case Manager/Care Coordinator | 4500 Pecos St, Fort Worth, TX 76119-5166 | 2020-02-07 |
| 1760014005 | Kimberly Nicole Cunningham | Case Manager/Care Coordinator | 1409 Pepperidge Ln, Fort Worth, TX 76131-5205 | 2020-02-05 |
| 1669030367 | Children & Family Services | Case Manager/Care Coordinator | 10129 South Race Street, Fort Worth, TX 76140 | 2019-05-29 |
| 1710543780 | Trisha Britton | Case Manager/Care Coordinator | 9837 Stripling Dr, Fort Worth, TX 76244-5883 | 2019-05-15 |
| 1538622600 | Johnathan Wilkerson | Case Manager/Care Coordinator | 3832 Del Rio Dr, Fort Worth, TX 76133-7106 | 2019-04-07 |
| 1437505955 | Stephen Paul Conway | Case Manager/Care Coordinator | 1307 8th Ave Ste 311, Fort Worth, TX 76104-4140 | 2016-05-13 |
| 1417326711 | Guidance Health Care | Case Manager/Care Coordinator | 6713 Bridge St #213, Fort Worth, TX 76112-0817 | 2015-09-17 |
| 1437530680 | Ronelle Boyd | Case Manager/Care Coordinator | 7109 Canisius Ct, Fort Worth, TX 76120-1383 | 2015-06-13 |
| 1316327588 | Dennis Miller II | Case Manager/Care Coordinator | 6731 Bridge St # 213, Fort Worth, TX 76112-0817 | 2015-06-03 |
| 1972900686 | Tiffany Tynes | Case Manager/Care Coordinator | 4629 Riverpark Dr, Fort Worth, TX 76137-1835 | 2014-11-24 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76123 |
Please comment or provide details below to improve the information on MS. SHALITHA SHELBY.
| 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.