SHELBY FABRE (NPI# 1710528427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710528427 |
| Entity Type | Individual |
| Full Name | SHELBY FABRE |
| Credential | SA-C |
| Practice Address |
1442 S Acadian Thruway Baton Rouge LA 70808-1182 |
| Practice Telephone | 7136302912 |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
18-358 | LA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1442 S ACADIAN THRUWAY |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70808-1182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313161 | Leah Michelle Dlugolecki | Student in an Organized Health Care Education/Training Program | Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2020-03-31 |
| 1003376302 | Kristina Pham | Student in an Organized Health Care Education/Training Program | 5246 Brittany Drive, 3rd Floor, Baton Rouge, LA 70808 | 2019-03-22 |
| 1083174486 | John Jay Hogan | Student in an Organized Health Care Education/Training Program | Lsu Emergency Medicine Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2019-03-21 |
| 1033682075 | Joseph Bertell Davis Jr. | Case Manager/Care Coordinator | 2460 College Drive, Baton Rouge, LA 70808 | 2019-01-02 |
| 1508340886 | Jennifer Miatech | Student in an Organized Health Care Education/Training Program | 8585 Picardy Ave., Medical Tower 2, Baton Rouge, LA 70808 | 2018-09-21 |
| 1700389137 | Jenee Robins | Case Manager/Care Coordinator | 2100 College Dr Apt 159, Baton Rouge, LA 70808 | 2018-03-12 |
| 1952812893 | Da Vonna Dents | Behavioral Analyst | 418 Stoney Creek Ave, Baton Rouge, LA 70808 | 2017-10-18 |
| 1962925669 | Katharine Elizabeth Blum | Counselor | 7936 Wrenwood Blvd. Ste A, Baton Rouge, LA 70808 | 2017-07-25 |
| 1801316120 | Amie Jackson | Social Worker | 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 | 2017-06-27 |
| 1235660713 | Melissa A Eddy-shelby | Student in an Organized Health Care Education/Training Program | 5000 Hennessy Blvs, Suite 6004, Baton Rouge, LA 70808 | 2017-03-25 |
| Find all providers in zip 70808 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858509 | Karen Lynn Basham | Specialist/Technologist, Other | 14141 Azalea Park Ave Apt C, Baton Rouge, LA 70816-1674 | 2019-12-16 |
| 1881252484 | Amelia Johnson Gibbs | Specialist/Technologist, Other | 8425 Cumberland Pl, Baton Rouge, LA 70806-6544 | 2019-05-30 |
| 1669902136 | Shellie Richardson | Specialist/Technologist, Other | 8080 Bluebonnet Blvd, Baton Rouge, LA 70810-7827 | 2017-06-15 |
| 1972945699 | Darlene Nicole Davis | Specialist/Technologist, Other | 8080 Bluebonnet Blvd, Suite 1000, Baton Rouge, LA 70810-7827 | 2013-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245876176 | Bernarda Antonieta Cedano Ramirez | Specialist/Technologist, Other | 4337 Cole Pl, Shreveport, LA 71109-6604 | 2019-11-26 |
| 1962962852 | Sabrina Anne Theriot | Specialist/Technologist, Other | 444 S 5th St, Ponchatoula, LA 70454-2712 | 2019-03-25 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| 1730624495 | Connie Savoy | Specialist/Technologist, Other | 219 Bonnie Rd, Opelousas, LA 70570-0856 | 2017-01-04 |
| 1689119448 | Tavarius Walker | Specialist/Technologist, Other | 4010 Gibson St Apt 8624, New Orleans, LA 70122-1608 | 2017-01-03 |
| 1437516457 | Maria Fernanda Kazibutowski | Specialist/Technologist, Other | 4315 Houma Blvd Ste 304, Metairie, LA 70006-2944 | 2016-01-21 |
| 1629466321 | Joni Dolhonde | Specialist/Technologist, Other | 53493 Highway 433, Slidell, LA 70461-4719 | 2015-01-03 |
| 1740686740 | Gregory Allen Melder | Specialist/Technologist, Other | 2751 Albert L Bicknell Dr Ste 3a, Shreveport, LA 71103-3976 | 2014-11-18 |
| 1770998437 | Amy L Broussard | Specialist/Technologist, Other | 1117 Eighth St, Lake Arthur, LA 70549-3401 | 2014-06-20 |
| 1790100741 | Rachel N Wells | Specialist/Technologist, Other | 103 Carmel Dr, Mandeville, LA 70448-4128 | 2014-02-27 |
| Find all providers with the same taxonomy | ||||
| City | BATON ROUGE |
| Zip Code | 70808 |
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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.