SHELBY LYNN PELLEGRINO (NPI# 1629570791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629570791 |
| Entity Type | Individual |
| Full Name | SHELBY LYNN PELLEGRINO |
| Practice Address |
14050 N 83rd Ave Ste 290 Peoria AZ 85381-5650 |
| Mailing Address |
133 S Lakeview Blvd Chandler AZ 85225-5790 |
| Practice Telephone | 6024281617 |
| Mailing Telephone | 6023014414 |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SLPA11037 | AZ | Speech, Language and Hearing Service Providers |
| Street Address |
14050 N 83RD AVE STE 290 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-5650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780050476 | Kaysha Richards | Psychologist | 14050 N 83rd Ave Ste 290, Peoria, AZ 85381-5650 | 2015-08-17 |
| 1689299976 | Phoenix Christian Psychotherapy Services LLC | Clinic/Center | 14050 N 83rd Ave Ste 290, Peoria, AZ 85381-5650 | 2020-06-11 |
| 1780207357 | Wholeness 2 Peace Care Services | Counselor | 14050 N 83rd Ave Ste 290, Peoria, AZ 85381-5650 | 2020-05-18 |
| 1194355925 | Corona Healthcare LLC | Counselor | 14050 N 83rd Ave Ste 290, Peoria, AZ 85381-5650 | 2020-01-21 |
| 1841837838 | One Physical Therapy LLC | Physical Medicine & Rehabilitation | 14050 N 83rd Ave Ste 290, Peoria, AZ 85381-5650 | 2019-12-09 |
| 1164911830 | Hodges Hanei Corporation | In Home Supportive Care | 14050 N 83rd Ave Ste 290, Peoria, AZ 85381-5650 | 2018-05-08 |
| 1427561950 | Charity Northan | Counselor | 14050 N 83rd Ave Ste 290, Peoria, AZ 85381-5650 | 2017-11-07 |
| 1841719788 | Kathleen Ann Webb | Social Worker | 14050 N 83rd Ave Ste 290, Peoria, AZ 85381-5650 | 2017-09-12 |
| 1760918254 | Faith Solutions To Mental Health | Clinic/Center | 14050 N 83rd Ave Ste 290, Peoria, AZ 85381-5650 | 2017-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477160893 | Suzanne L Atkinson | Specialist/Technologist | 12120 W Briles Rd, Peoria, AZ 85383-5823 | 2020-09-29 |
| 1851923254 | Samantha Gutierrez2 | Specialist/Technologist | 7241 W Crabapple Dr, Peoria, AZ 85383-7217 | 2020-02-04 |
| 1477183283 | Ellen M Evans | Specialist/Technologist | 22423 N 91st Dr, Peoria, AZ 85383-4160 | 2020-01-21 |
| 1578112777 | Jessica Ashenbrener | Specialist/Technologist | 29302 N 67th Dr, Peoria, AZ 85383-3014 | 2019-09-10 |
| 1831743418 | Brittany Smith | Specialist/Technologist | 8567 W Andrea Dr, Peoria, AZ 85383-3886 | 2019-07-31 |
| 1689227910 | Tatum Renee Bixler | Specialist/Technologist | 8797 W Hatfield Rd, Peoria, AZ 85383-1853 | 2019-07-16 |
| 1710458443 | Alice L Williams | Specialist/Technologist | 8765 W Kelton Ln Ste 100, Peoria, AZ 85382-5008 | 2018-12-06 |
| 1730660390 | Brittany Marianne Eberson | Specialist/Technologist | 7314 W Aster Dr, Peoria, AZ 85381-5383 | 2018-08-22 |
| 1770076143 | Alyssa Janae Homsey | Specialist/Technologist | 8251 W Thunderbird Rd Ste 180, Peoria, AZ 85381-4620 | 2018-06-11 |
| 1003317249 | Jayme Russell | Specialist/Technologist | 25124 N 68th Dr, Peoria, AZ 85383-7112 | 2018-02-22 |
| Find all providers in PEORIA | ||||
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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.