SHELLYE D BYERS (NPI# 1609273382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609273382 |
Entity Type | Individual |
Full Name | SHELLYE D BYERS |
Practice Address |
9428 W Highland Ave Phoenix AZ 85037-1015 |
Mailing Address |
202 E Earll Dr Suite 200 Phoenix AZ 85012-2647 |
Practice Telephone | 6028082800 |
Practice Fax Number | 6028082714 |
Mailing Telephone | 6025995404 |
Mailing Fax Number | 6025995704 |
Enumeration Date | 2014-11-25 |
Last Update Date | 2014-11-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
9428 W HIGHLAND AVE |
City | PHOENIX |
State | AZ |
Zip Code | 85037-1015 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003213075 | Kayesha Marcelle Mckinney | Case Manager/Care Coordinator | 9428 W Highland Ave, Phoenix, AZ 85037-1015 | 2014-11-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356969828 | Live Well Assisted Living LLC | Psychiatric Residential Treatment Facility | 9210 W Loow Bend Lane, Phoenix, AZ 85037 | 2020-07-10 |
1770126260 | Medical Management Systems, Inc. | Assisted Living Facility | 2209 N. Rascon Loop, Phoenix, AZ 85037 | 2019-10-28 |
1346800760 | Sonoran Sky Family Dentistry | Dentist | 9515 West Camelback Road, Suite #120, Phoenix, AZ 85037 | 2019-06-18 |
1578025136 | Jennifer Natasha Kunz | Nurse Practitioner | Cleanslate, 8410 W. Thomas Rd, Phoenix, AZ 85037 | 2019-04-03 |
1740751320 | Mariposa Phoenix Al Partners, Lp | Assisted Living Facility | 3100 N 91st Avenue, Phoenix, AZ 85037 | 2018-12-08 |
1417442799 | Prop Anesthesia LLC | Nurse Anesthetist, Certified Registered | 9250 W Thomas Rd Ste 220, Phoenix, AZ 85037 | 2018-06-28 |
1922522242 | Tree of Life Mental Health Systems, LLC | Behavior Technician | 8400 W. Virginia, #1138, Phoenix, AZ 85037 | 2017-07-28 |
1720500465 | Moc Phoenix, LLC | Assisted Living Facility | 3000 N. 91st Avenue, Phoenix, AZ 85037 | 2017-07-14 |
1407385826 | Not Alone Home Care, LLC | In Home Supportive Care | 9422 W Palm Lane, Phoenix, AZ 85037 | 2017-06-08 |
1063953081 | Karla Soward | Radiologic Technologist | 2015 N Rascon Loop, Phoenix, AZ 85037 | 2017-03-09 |
Find all providers in zip 85037 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518465012 | Cesar Alejandro Mercado | Peer Specialist | 137 Sharon Dr, Phoenix, OR 97535-5713 | 2018-01-30 |
1235737156 | Timothy Chakos-kender | Peer Specialist | 4343 N 16th St, Phoenix, AZ 85016-5338 | 2020-10-13 |
1518565696 | Aaron R Fry | Peer Specialist | 4343 N 16th St, Phoenix, AZ 85016-5338 | 2020-10-12 |
1386284685 | Alysse Lynette Kelly | Peer Specialist | 149 S Main St, Phoenix, OR 97535-6631 | 2020-01-14 |
1851945166 | Jesse Anthony Ruelas | Peer Specialist | 1500 E Thomas Rd Ste 106, Phoenix, AZ 85014-5748 | 2019-07-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679181457 | Justin David Lee Harvey | Peer Specialist | 1616 E Main St Ste 207a-1, Mesa, AZ 85203-9071 | 2020-07-17 |
1689295636 | Native Music Coalition | Peer Specialist | 4814 S Warren Ave, Tucson, AZ 85714-1749 | 2020-04-30 |
1063031532 | Grace Irene Tang | Peer Specialist | 3023 N Calle Castellon, Tucson, AZ 85745-9512 | 2020-04-14 |
1407493687 | Vincent Merced Flores | Peer Specialist | 1706 E Calle Salamanca, Tucson, AZ 85714-1729 | 2019-12-05 |
1043737497 | Penny Pulz Golf LLC | Peer Specialist | 10315 W Wininger Cir Ste B, Sun City, AZ 85351-4758 | 2017-08-26 |
1275917379 | Diedra Y Kinne | Peer Specialist | 240 West Jensen St., Fredonia, AZ 86022-0491 | 2015-07-17 |
1861884157 | Valena F Eisenhart | Peer Specialist | 1745 N Kadota Ave, Casa Grande, AZ 85122-2131 | 2015-02-24 |
1578953477 | Vincent Nicasio Jr. | Peer Specialist | 471 N Marshall Loop Rd, Somerton, AZ 85350-6216 | 2015-01-29 |
1508474917 | Chauncey Bradford | Peer Specialist | 1616 E Main St Ste 207a-1, Mesa, AZ 85203-9071 | 2020-07-21 |
1972043404 | Patricia Aragon-niit | Peer Specialist | 1595 S 1st Ave, Yuma, AZ 85364-4706 | 2017-03-02 |
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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.