BRUCE SHELBY (NPI# 1710547179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710547179 |
| Entity Type | Individual |
| Full Name | BRUCE SHELBY |
| Credential | LVN |
| Practice Address |
1430 Collier St Austin TX 78704-2911 |
| Practice Telephone | 5124724357 |
| Practice Fax Number | 5127031394 |
| Mailing Telephone | 5124724357 |
| Mailing Fax Number | 5127031394 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 329636 | TX | Nursing Service Providers |
| Street Address |
1430 COLLIER ST |
| City | AUSTIN |
| State | TX |
| Zip Code | 78704-2911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750337259 | Austin Travis County Mental Health and Mental Retardation Center | Counselor | 1430 Collier St, Austin, TX 78704-2911 | 2006-05-26 |
| 1851919120 | Tonya Rene' Edwards | Licensed Vocational Nurse | 1430 Collier St, Austin, TX 78704-2911 | 2020-07-13 |
| 1205466356 | Emma Wilkes Smith | Registered Nurse | 1430 Collier St, Austin, TX 78704-2911 | 2020-01-16 |
| 1912547050 | Kimberly Renee Faver | Dietitian, Registered | 1430 Collier St, Austin, TX 78704-2911 | 2020-01-07 |
| 1003455130 | Sophie Martin | Dietitian, Registered | 1430 Collier St, Austin, TX 78704-2911 | 2020-01-06 |
| 1740838101 | Paul Boring | Registered Nurse | 1430 Collier St, Austin, TX 78704-2911 | 2019-08-29 |
| 1386296960 | Kimberly Elaine Goodman | Registered Nurse | 1430 Collier St, Austin, TX 78704-2911 | 2019-07-12 |
| 1033777057 | Vickie Elaine Carrington | Licensed Practical Nurse | 1430 Collier St, Austin, TX 78704-2911 | 2019-06-04 |
| 1508328725 | Giselle Aguirre | Counselor | 1430 Collier St, Austin, TX 78704-2911 | 2019-04-05 |
| 1306310552 | Jill Lassi Scott | Registered Nurse | 1430 Collier St, Austin, TX 78704-2911 | 2019-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
| 1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
| 1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
| 1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
| 1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
| Find all providers in zip 78704 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598393308 | Yahira Aleman | Licensed Vocational Nurse | 10705 Casitas Dr, Austin, TX 78717-3872 | 2020-03-28 |
| 1245882810 | Shirley Jean Graves | Licensed Vocational Nurse | 401 S Park Dr, Austin, TX 78704-6346 | 2019-07-12 |
| 1457810558 | Bianca Danielle Brown | Licensed Vocational Nurse | 810 E Slaughter Ln Apt 11204, Austin, TX 78744-2139 | 2019-03-18 |
| 1174097059 | Amy Lynn Macafee | Licensed Vocational Nurse | 3737 Executive Center Dr Ste 250, Austin, TX 78731-1640 | 2019-01-14 |
| 1326513664 | Joseph Guptil Connors IIi | Licensed Vocational Nurse | 7409 Cedar Edge Dr, Austin, TX 78744-1705 | 2018-10-12 |
| 1881179240 | Clara Luz Loza | Licensed Vocational Nurse | 1165 Airport Blvd Fl 2, Austin, TX 78702-3152 | 2018-10-01 |
| 1922581693 | Beauty Uzoma Achonye | Licensed Vocational Nurse | 11024 Cairnhill Ct, Austin, TX 78754-2162 | 2018-09-10 |
| 1750862629 | Purity Thande Nash | Licensed Vocational Nurse | 11312 Barns Trl, Austin, TX 78754-6049 | 2018-08-28 |
| 1801377791 | Claudia Yanira Mireles | Licensed Vocational Nurse | 12041 Dessau Rd Apt 809, Austin, TX 78754-1710 | 2018-08-28 |
| 1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
| Find all providers in AUSTIN | ||||
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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.