MRS. SHELLY RENE MICHAELS (NPI# 1689896086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689896086 |
| Entity Type | Individual |
| Full Name | MRS. SHELLY RENE MICHAELS |
| Practice Address |
1445 Paul Bunyan Rd Susanville CA 96130 |
| Mailing Address |
433 Knoch Ave Susanville CA 96130 |
| Practice Telephone | 5302518076 |
| Practice Fax Number | 5302512662 |
| Mailing Telephone | 5303104025 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1445 PAUL BUNYAN RD |
| City | SUSANVILLE |
| State | CA |
| Zip Code | 96130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659592822 | Orlando Alberto Caprari | Rehabilitation Practitioner | 1445 Paul Bunyan Rd, Susanville, CA 96130 | 2007-05-02 |
| 1891923991 | Gayle Ann Triplett | Registered Nurse | 1445 Paul Bunyan Rd, Susanville, CA 96130-3201 | 2009-06-26 |
| 1962680710 | Rachelle Marie Surian | Registered Nurse | 1445 Paul Bunyan Rd, Susanville, CA 96130 | 2008-02-04 |
| 1316150378 | Rebecca Ann Baker | Rehabilitation Practitioner | 1445 Paul Bunyan Rd, Susanville, CA 96130 | 2007-05-07 |
| 1821201864 | Keith Floyd Coker | Rehabilitation Practitioner | 1445 Paul Bunyan Rd, Susanville, CA 96130 | 2007-05-07 |
| 1093928061 | Terry A Chapman | Rehabilitation Practitioner | 1445 Paul Bunyan Rd, Susanville, CA 96130 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932753456 | Shaughn Randall Whittaker | Nurse Practitioner | 1860 Paul Bunyan Rd, Susanville, CA 96130 | 2019-08-01 |
| 1871980847 | Katie Gaffney | Acupuncturist | 1850 Spring Ridge Dr., Susanville, CA 96130 | 2015-04-17 |
| 1952678435 | Linda Vixie | Dentist | 3020 Johnstonville Rd., Susanville, CA 96130 | 2011-11-28 |
| 1942503057 | Pamela Sue Vallalvazo | Counselor | 1445 Paul Bunyon Rd., Susanville, CA 96130 | 2010-12-10 |
| 1255631883 | Jessica Smyth | Counselor | 1400 Chestnut Street # A, Susanville, CA 96130 | 2010-10-29 |
| 1295045276 | Danielle Hardy | Counselor | 1400 Chestnut Street Suite A, Susanville, CA 96130 | 2010-10-08 |
| 1982921417 | Ronald Spencer Tucker Jr. | Counselor | 4119 Johnstonville Road, #270503, Susanville, CA 96130 | 2010-04-23 |
| 1609107945 | Timothy J Nolan | Psychologist | 803 1/2 Main St., Suite 104, Susanville, CA 96130 | 2010-01-27 |
| 1528243649 | Daniel Martin Bruce | Case Manager/Care Coordinator | 720-a Richmond Road, Susanville, CA 96130 | 2008-01-08 |
| 1679757785 | Michael Charles Giddings | Dentist | 475 Rice Canyon Rd, Susanville, CA 96130 | 2007-12-26 |
| Find all providers in zip 96130 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144433897 | Darrell R Foster | Rehabilitation Practitioner | 1400 Chestnut St, Suite A, Susanville, CA 96130 | 2007-05-08 |
| 1659592822 | Orlando Alberto Caprari | Rehabilitation Practitioner | 1445 Paul Bunyan Rd, Susanville, CA 96130 | 2007-05-02 |
| 1316168198 | Virginia Mary Harris | Rehabilitation Practitioner | 555 Hospital Lane, Susanville, CA 96130 | 2007-05-01 |
| 1366075996 | Tyler Poor | Rehabilitation Practitioner | 555 Hospital Ln, Susanville, CA 96130-4808 | 2020-02-21 |
| 1144714767 | Rebecca Jordan | Rehabilitation Practitioner | 555 Hospital Ln, Susanville, CA 96130-4808 | 2018-06-18 |
| 1700304672 | Nichole Leshawn Johnson | Rehabilitation Practitioner | 555 Hospital Ln, Susanville, CA 96130-4808 | 2017-08-31 |
| 1427501055 | Tina Richards | Rehabilitation Practitioner | 555 Hospital Ln, Susanville, CA 96130-4808 | 2016-08-01 |
| 1407207970 | Janet Marinoni | Rehabilitation Practitioner | 555 Hospital Ln, Susanville, CA 96130-4808 | 2016-06-27 |
| 1629428412 | Sariah Hathaway | Rehabilitation Practitioner | 555 Hospital Ln, Susanville, CA 96130-4808 | 2016-06-13 |
| 1457724767 | Trinity Leslie | Rehabilitation Practitioner | 555 Hospital Ln, Susanville, CA 96130-4808 | 2015-11-09 |
| Find all providers in SUSANVILLE | ||||
| City | SUSANVILLE |
| Zip Code | 96130 |
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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.