SHELLY SMITH


Address: 6060 N Wildhorse Dr, Prescott Valley, AZ 86314-3346
Phone: 7606443670

SHELLY SMITH (NPI# 1609245752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609245752
Entity Type Individual
Full Name SHELLY SMITH
Practice Address 6060 N Wildhorse Dr
Prescott Valley
AZ 86314-3346
Practice Telephone 7606443670
Enumeration Date 2015-09-18
Last Update Date 2015-09-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 385HR2055X Respite Care
Specialization: Respite Care, Mental Illness, Child
BH4554 AZ Respite Care Facility

Other Providers SHELLY SMITH

NPI Name Taxonomy Address Enumeration
1437504222 Shelly Smith Licensed Practical Nurse 912 Petoskey St, Petoskey, MI 49770-2937 2016-04-28
1518365667 Shelly Smith Registered Nurse 458 Linwood St, Brooklyn, NY 11208-2132 2014-12-05
1457630774 Shelly R Smith Nurse Practitioner 9000 Rockville Pike Nih Bldg 10 Rm 3n 210, Bethesda, MD 20892-0001 2011-08-04
1508075854 Shelly E Smith Pharmacist 10501 New Haven Rd, Harrison, OH 45030-2734 2007-05-22
1386719771 Shelly Jean Smith Social Worker 190 Delaware St., Sandusky, MI 48471 2006-11-21
1417911843 Shelly P Smith Nurse Practitioner 3452 Anderson Hwy, Suite D, Powhatan, VA 23139-5845 2006-04-13
1992275721 Shelly Smith Technician 401 N Oklahoma Ave, Mangum, OK 73554-3011 2018-12-05
1831626837 Shelly Jean Marion Smith Nurse Practitioner 6973 Linda Vista Rd, San Diego, CA 92111-6342 2017-05-22
1295108504 Shelly M Smith Marriage & Family Therapist 15300 Watertown Plank Rd Ste 106, Elm Grove, WI 53122-2348 2015-11-09
1528401171 Shelly J Smith Speech-Language Pathologist 950 Office Park Rd, Suite 121, West Des Moines, IA 50265-2549 2013-04-14

Office Location

Street Address 6060 N WILDHORSE DR
City PRESCOTT VALLEY
State AZ
Zip Code 86314-3346

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992326029 Sequelcare of Arizona Community Based Residential Treatment Facility, Mental Illness 3001 N. Mountain View Rd, Prescott Valley, AZ 86314 2020-04-29
1124666516 Best Care Behavioral Homes LLC Community/Behavioral Health 5385 W Saddleback Drive, Prescott Valley, AZ 86314 2019-12-16
1912541558 The Stateserv Companies, LLC Durable Medical Equipment & Medical Supplies 8926 E. Long Mesa Drive, Prescott Valley, AZ 86314 2019-11-06
1003398983 Richard Telck Pharmacist 7720 E. Highway 69, Prescott Valley, AZ 86314 2018-09-06
1912493065 Akdhc,llc Internal Medicine 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 2018-07-02
1700377983 Pronghorn Psychiatry Clinic/Center 5940 E. Copper Hill Dr, Suite E, Prescott Valley, AZ 86314 2018-05-23
1689185126 Thumb Butte Urgent Care Clinic/Center 6496 East Highway 69, Prescott Valley, AZ 86314 2017-10-23
1740738046 Janine Kauffmann Pharmacist 7720 East Highway 69, Prescott Valley, AZ 86314 2016-09-14
1528415650 Nazcare, Inc. Exclusive Provider Organization 8200 E. Jacque Dr., Prescott Valley, AZ 86314 2016-05-18
1184087009 William Beverly Marriage & Family Therapist 8603 E. Eastridge Dr., Ste A, Prescott Valley, AZ 86314 2016-03-29
Find all providers in zip 86314

Taxonomy Information

Taxonomy Code 385HR2055X
Grouping Respite Care Facility
Classification Respite Care
Specialization Respite Care, Mental Illness, Child

Taxonomy Definition

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366811002 Diane Swope Respite Care 3517 N Victor Rd, Prescott Valley, AZ 86314-8437 2015-09-23
1093182743 Theresa Harcey Respite Care 4884 N Ivanhoe Cir, Prescott Valley, AZ 86314-7150 2015-08-28
1598049330 People First Respite Care 7291 E Conestoga Way, Prescott Valley, AZ 86314-5182 2011-09-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114539004 Yvette I Haughton Respite Care 11275 N 99th Ave Lot 117, Peoria, AZ 85345-5479 2020-08-20
1700411576 Jaquelina Andrea Reyes Respite Care 25279 W Centre Ave, Buckeye, AZ 85326-2468 2020-03-11
1740815497 Jerome Alexander-terrell Jackson Respite Care 9680 W Northern Ave Unit 2311, Peoria, AZ 85345-4655 2020-03-03
1912539941 Elizabeth Ann Mannel Respite Care 1225 W Panorama Rd, Tucson, AZ 85704-2834 2020-02-07
1093345498 New Hope of Arizona, Inc. Respite Care 12545 W Woodland Ave, Avondale, AZ 85323-8025 2020-01-24
1033757877 Jessica Annette Dixon-tatum Respite Care 401 N 6th St, Buckeye, AZ 85326-2415 2019-12-11
1700423902 Randy Bland Respite Care 20731 W Stone Hill Road, Buckeye, AZ 85396 2019-12-06
1003459934 Stephanie Denise Jackson Respite Care 22321 W Morning Glory St, Buckeye, AZ 85326-7181 2019-10-23
1285276345 Charlyn Ponds Respite Care 235 E Ray Rd Apt 2035, Chandler, AZ 85225-3362 2019-10-10
1508416595 Tyechia Webb Respite Care 21239 N 24th Ave Apt 214, Phoenix, AZ 85027-2524 2019-09-12
Find all providers with the same taxonomy

Competitor

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City PRESCOTT VALLEY
Zip Code 86314

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Dataset Information

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.

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