SHELLY SMITH (NPI# 1609245752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
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 |
Street Address |
6060 N WILDHORSE DR |
City | PRESCOTT VALLEY |
State | AZ |
Zip Code | 86314-3346 |
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 Code | 385HR2055X |
Grouping | Respite Care Facility |
Classification | Respite Care |
Specialization | Respite Care, Mental Illness, Child |
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] |
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 |
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 |
City | PRESCOTT VALLEY |
Zip Code | 86314 |
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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.