SHELLEY C BOOTH (NPI# 1639555279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639555279 |
| Entity Type | Individual |
| Full Name | SHELLEY C BOOTH |
| Credential | APRN-FNP-C |
| Practice Address |
2510 Bellevue Medical Center Dr Ste 200 Bellevue NE 68123-1520 |
| Mailing Address |
988102 Nebraska Medical Ctr Omaha NE 68198-8102 |
| Practice Telephone | 4025952275 |
| Practice Fax Number | 4025951970 |
| Mailing Telephone | 4025596195 |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2019-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
111869 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2510 BELLEVUE MEDICAL CENTER DR STE 200 |
| City | BELLEVUE |
| State | NE |
| Zip Code | 68123-1520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073599890 | Jeremy C King | Family Medicine | 2510 Bellevue Medical Center Dr Ste 200, Bellevue, NE 68123-1520 | 2005-12-22 |
| 1750996831 | Hillary Suzanne Stark | Nurse Practitioner | 2510 Bellevue Medical Center Dr Ste 200, Bellevue, NE 68123-1520 | 2020-09-15 |
| 1104449149 | Holly Lynn Groteluschen | Student in an Organized Health Care Education/Training Program | 2510 Bellevue Medical Center Dr Ste 200, Bellevue, NE 68123-1520 | 2020-05-26 |
| 1306484944 | Kayla Renee Hergert | Nurse Practitioner | 2510 Bellevue Medical Center Dr Ste 200, Bellevue, NE 68123-1520 | 2019-12-13 |
| 1891342671 | Nancy L Childe | Nurse Practitioner | 2510 Bellevue Medical Center Dr Ste 200, Bellevue, NE 68123-1520 | 2019-08-26 |
| 1295203701 | Allison Cox | Physician Assistant | 2510 Bellevue Medical Center Dr Ste 200, Bellevue, NE 68123-1520 | 2018-11-02 |
| 1255817367 | Christabel Orobosa Alphonso | Nurse Practitioner | 2510 Bellevue Medical Center Dr Ste 200, Bellevue, NE 68123-1520 | 2018-07-12 |
| 1770075129 | Jamie Michelle Shaw | Nurse Practitioner | 2510 Bellevue Medical Center Dr Ste 200, Bellevue, NE 68123-1520 | 2018-06-01 |
| 1952815920 | Alix Sandbothe | Nurse Practitioner | 2510 Bellevue Medical Center Dr Ste 200, Bellevue, NE 68123-1520 | 2017-11-28 |
| 1629461280 | Katie Jo Kmiecik | Nurse Practitioner | 2510 Bellevue Medical Center Dr Ste 200, Bellevue, NE 68123 | 2015-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482227 | Gloria Pettigrew-fletcher | Community Health Worker | 12432 A 36th St, C20, Bellevue, NE 68123 | 2020-03-13 |
| 1225480676 | Heidi Jean Mccoy | Dentist | 2110 Towne Centre Drive, Bellevue, NE 68123 | 2016-07-11 |
| 1538557442 | Mariam Abdelghany I | Physician Assistant | 2500 Bellevue Medical Center Drive, Bellevue, NE 68123 | 2014-12-30 |
| 1205243367 | Sara Johnson | Pharmacist | 3614 Twin Creeks Drive, Bellevue, NE 68123 | 2014-07-21 |
| 1174826747 | Francine Amy Drummond | Dentist | 1701 Independence Lane #22, Bellevue, NE 68123 | 2010-12-21 |
| 1053509588 | Dunlow Orthodontics, P.C. | Dentist | 2219 Capehart Road, Suite 102, Bellevue, NE 68123 | 2007-10-10 |
| 1801911870 | Michelle Lynn Gaeth | Dentist | 11536 S. 31st St., Bellevue, NE 68123 | 2007-03-20 |
| 1386789832 | Mary Monique Rotert | Psychologist | 3308 Samson Way Road, Suite 211, Bellevue, NE 68123 | 2007-02-21 |
| 1316084098 | Kevin B Jones | Family Medicine | 3308 Samson Way Ste 102, Bellevue, NE 68123 | 2007-01-31 |
| 1467529727 | Nebraska Medical Center | Pharmacy | 2510 Bellevue Medical Center Drive, Suite 100, Bellevue, NE 68123 | 2006-11-29 |
| Find all providers in zip 68123 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618750 | Sarah A Kampfer | Nurse Practitioner | 123 Gardner St, Bellevue, OH 44811-1811 | 2020-08-06 |
| 1386293660 | Kathryn Anderson | Nurse Practitioner | 14808 S 24th St, Bellevue, NE 68123-2003 | 2019-09-09 |
| 1265098610 | Yuzuo Zhang | Nurse Practitioner | 1020 108th Ave Ne Ste 19, Bellevue, WA 98004-4315 | 2019-05-11 |
| 1457819260 | Kathryn Kalmes | Nurse Practitioner | 15710 Ne 24th St Ste A, Bellevue, WA 98008-2444 | 2019-03-11 |
| 1487129243 | Pamela Sue Dorothea Cramer | Nurse Practitioner | 1265 W Main St Ste A, Bellevue, OH 44811-9055 | 2018-10-09 |
| 1841782257 | Kimberly Greene | Nurse Practitioner | 15600 Ne 8th St Ste A4, Bellevue, WA 98008-3917 | 2018-05-31 |
| 1588199053 | Hannah Ng | Nurse Practitioner | 1310 116th Ave Ne Ste A, Bellevue, WA 98004-3817 | 2017-04-21 |
| 1700325883 | Michelle Renae Peterson | Nurse Practitioner | 2529 Madison St, Bellevue, NE 68005-5366 | 2017-02-22 |
| 1740724988 | Amanda Spears | Nurse Practitioner | 413 Brinker St, Bellevue, OH 44811-1508 | 2016-12-07 |
| 1164976205 | Tatyana Melnik | Nurse Practitioner | 10610 Ne 9th Pl Unit 1900, Bellevue, WA 98004-8647 | 2016-08-06 |
| Find all providers in BELLEVUE | ||||
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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.