SHELBY REAL (NPI# 1720557374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720557374 |
| Entity Type | Individual |
| Full Name | SHELBY REAL |
| Credential | PAC |
| Practice Address |
973 Mica Dr Ste 201 Carson City NV 89705-7258 |
| Practice Telephone | 7757836190 |
| Mailing Telephone | 7757836190 |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2018-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA2041 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
973 MICA DR STE 201 |
| City | CARSON CITY |
| State | NV |
| Zip Code | 89705-7258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821089376 | Kelly A Roetman | Registered Nurse | 973 Mica Dr Ste 201, Carson City, NV 89705 | 2005-11-03 |
| 1457918161 | Quay Hervey | Physician Assistant | 973 Mica Dr Ste 201, Carson City, NV 89705-7258 | 2019-05-29 |
| 1578086013 | Peter N Costa, Md | Durable Medical Equipment & Medical Supplies | 973 Mica Dr Ste 201, Carson City, NV 89705-7258 | 2017-07-17 |
| 1316468762 | Mallory Cushner | Registered Nurse | 973 Mica Dr Ste 201, Carson City, NV 89705-7258 | 2017-07-06 |
| 1083145809 | Ashten Howard | Physician Assistant | 973 Mica Dr Ste 201, Carson City, NV 89705 | 2017-03-23 |
| 1881068518 | Emma Bacharach | Physician Assistant | 973 Mica Dr Ste 201, Carson City, NV 89705 | 2015-11-18 |
| 1437418811 | Daniel James Cepela | Orthopaedic Surgery | 973 Mica Dr Ste 201, Carson City, NV 89705 | 2012-05-06 |
| 1578858858 | Rueben Nair | Orthopaedic Surgery | 973 Mica Dr Ste 201, Carson City, NV 89705-7258 | 2011-06-14 |
| 1992024111 | Jennifer Lindsey Mendoza | Anesthesiology | 973 Mica Dr Ste 201, Carson City, NV 89705 | 2010-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366642423 | Melinda Kaye Hoskins | Registered Nurse | 937 Mica Dr Ste 16b, Carson City, NV 89705 | 2007-07-18 |
| 1396897849 | Ronald Winkelman | Optometrist | 3370 N. Hwy 395 South, Carson City, NV 89705 | 2007-01-17 |
| 1821155300 | Huyen Mong Nguyen | Optometrist | 911 Topsy Ln Ste 236, Carson City, NV 89705 | 2007-01-03 |
| 1013018241 | Timothy R. Stoll Dds LLC | Dentist | 1625 Hwy 88, Suite 201, Minden, NV 89705 | 2006-09-26 |
| 1720198344 | Costco Wholesale Corporation | Pharmacy | 700 Old Clear Creek Rd, Carson City, NV 89705 | 2006-08-30 |
| 1770845885 | Melinda Hoskins Cnm, Ltd | Registered Nurse | 937 Mica Dr Ste 16b, Carson City, NV 89705 | 2012-06-13 |
| 1457403495 | Ronald Winkelman O.d., Inc. | Optometrist | 3370 N. Hwy 395 South, Carson City, NV 89705 | 2007-01-18 |
| 1609919034 | Joseph William Saccoman | Chiropractor | 3790 Hwy 395 S. Ste 303, Joe Saccoman, D.c., Carson City, NV 89705-5808 | 2007-02-15 |
| 1629325691 | Melissa S. Jones Dds Ltd | Dentist | 3790 Us Highway 395 S Ste 406, Carson City, NV 89705-5809 | 2012-08-09 |
| 1679757942 | Farnaz Khankhanian, O.d. Professional Corporation | Optometrist | 3790 Us Highway 395 S Ste 407, Carson City, NV 89705-5809 | 2007-12-21 |
| Find all providers in zip 89705 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194324574 | Ashley Brooke Allen | Physician Assistant | 1705 Chaise Ct, Carson City, NV 89703-2335 | 2020-10-18 |
| 1295261089 | Reno Orthopaedic Clinic Inc | Physician Assistant | 1365 Medical Pkwy, Carson City, NV 89703-4653 | 2017-05-11 |
| 1336493295 | Rachel Webb | Physician Assistant | 973 Mica Dr Ste 101, Carson City, NV 89705-7257 | 2012-10-30 |
| 1538422118 | John Kenyon Larsen | Physician Assistant | 1470 Medical Pkwy Ste 265, Carson City, NV 89703-4648 | 2012-06-19 |
| 1881770931 | Lynnette Conrad | Physician Assistant | 1200 Mountain St Ste 230, Carson City, NV 89703 | 2006-10-31 |
| 1588658660 | Jason Call | Physician Assistant | 935 Mica Dr Ste 13, Carson City, NV 89705-7181 | 2005-09-06 |
| 1962407684 | Lisa T Durden | Physician Assistant | 704 W Nye Ln, Ste 203, Carson City, NV 89703-1572 | 2005-06-17 |
| 1457918161 | Quay Hervey | Physician Assistant | 973 Mica Dr Ste 201, Carson City, NV 89705-7258 | 2019-05-29 |
| 1225510589 | Matthew Wayne Smith | Physician Assistant | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2018-09-04 |
| 1982180527 | Jenny Kristine Singh | Physician Assistant | 201 Koontz Ln, Carson City, NV 89701-5513 | 2018-07-17 |
| Find all providers in CARSON CITY | ||||
| City | CARSON CITY |
| Zip Code | 89705 |
Please comment or provide details below to improve the information on SHELBY REAL.
| 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.