MRS. MARY SHELLNUTT (NPI# 1811366552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811366552 |
| Entity Type | Individual |
| Full Name | MRS. MARY SHELLNUTT |
| Credential | APRN, AGCNS-BC |
| Practice Address |
3901 W 15th St Plano TX 75075-7738 |
| Mailing Address |
1508 Millwood Ln Allen TX 75002-1547 |
| Practice Telephone | 9725191348 |
| Practice Fax Number | 2144737527 |
| Mailing Telephone | 4692472365 |
| Mailing Fax Number | 2144737527 |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2016-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
AP128617 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
AP128617 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3901 W 15TH ST |
| City | PLANO |
| State | TX |
| Zip Code | 75075-7738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851394670 | Akilan Arumugham | Radiology | 3901 W 15th St, Plano, TX 75075-7738 | 2005-05-24 |
| 1568071108 | Tessa Thibodeaux | Nurse Practitioner | 3901 W 15th St, Plano, TX 75075-7738 | 2020-07-29 |
| 1225663867 | North Texas Gi Hospitalists, LLC | Internal Medicine | 3901 W 15th St, Plano, TX 75075-7738 | 2020-03-04 |
| 1801426408 | Lesley George | Pharmacist | 3901 W 15th St, Plano, TX 75075-7738 | 2020-01-22 |
| 1700416989 | James J Rockefeller Md, Pllc | Anesthesiology | 3901 W 15th St, Plano, TX 75075-7738 | 2020-01-16 |
| 1376187682 | Tabtiha Jean Inge | Nurse Practitioner | 3901 W 15th St, Plano, TX 75075-7738 | 2019-10-30 |
| 1528616042 | Lighthouse Anesthesia Pllc. | Anesthesiology | 3901 W 15th St, Plano, TX 75075-7738 | 2019-08-28 |
| 1962058636 | Halen Benjamin | Nurse Practitioner | 3901 W 15th St, Plano, TX 75075-7738 | 2019-08-17 |
| 1730731142 | Shelby Jane Smith | Nurse Practitioner | 3901 W 15th St, Plano, TX 75075-7738 | 2019-07-15 |
| 1033761630 | Simon Kaitei | Nurse Practitioner | 3901 W 15th St, Plano, TX 75075-7738 | 2019-07-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861027120 | North Star Mcd, LLC | Clinic/Center | 3700 W 15th St Bldg D Ste 200, Plano, TX 75075 | 2020-03-06 |
| 1558991364 | Pinner Hio Chiropractic, Inc | Chiropractor | 3801 George Bush Turnpike, Ste 130, Plano, TX 75075 | 2020-01-21 |
| 1396214052 | Tu Cam Bui Forkner | Physician Assistant | 3804 W 15th St Ste 140, Plano, TX 75075 | 2018-11-24 |
| 1033691498 | Jane Njeri Muchiri | Licensed Vocational Nurse | 1255 West 15th Street Suite1025, Plano, TX 75075 | 2018-09-02 |
| 1548742976 | Bethany Noelle Bell | Speech-Language Pathologist | 1255 W 15th Street Suite 1025, Plano, TX 75075 | 2018-09-01 |
| 1639650302 | Olufunke Oloyede | Licensed Vocational Nurse | 1255 W 15th St Ste 1205, Plano, TX 75075 | 2018-08-22 |
| 1679053995 | Healthrx Pharmacy LLC | Pharmacy | 2235 W 15th St, Plano, TX 75075 | 2018-08-16 |
| 1134606593 | Lauren Scurry | Speech-Language Pathologist | 2809 Hunters Creek, Plano, TX 75075 | 2018-07-27 |
| 1740767946 | Barikat Aruna Oderinde | Nurse Practitioner | 804 Edmonton Dr, Plano, TX 75075 | 2018-07-20 |
| 1932685302 | Surgical Anesthesia Consultants, Pllc | Anesthesiology | 2419 Coit Road, Suite B, Plano, TX 75075 | 2018-07-18 |
| Find all providers in zip 75075 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548627185 | Kari A Bruner | Clinical Nurse Specialist | 6300 W Parker Rd Ste 322, Plano, TX 75093-8103 | 2016-01-27 |
| 1912280108 | Lane Erickson | Clinical Nurse Specialist | 4001 W 15th St, Suite 290, Plano, TX 75093-5841 | 2011-09-23 |
| 1801023387 | Michelle Lorraine Alexandre | Clinical Nurse Specialist | 1600 Coit Rd, Suite 304, Plano, TX 75075-6174 | 2009-06-11 |
| 1922110980 | Genessa Marie Swint | Clinical Nurse Specialist | 6957 W Plano Pkwy Ste 2700, Plano, TX 75093-1626 | 2006-08-31 |
| 1073557062 | Ginger M Howerton | Clinical Nurse Specialist | 4001 W 15th St, Suite 100, Plano, TX 75093-5841 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831797018 | Elizabeth Lynn Stevie | Clinical Nurse Specialist | 4315 Red Cloud Dr, Austin, TX 78759-4240 | 2020-10-11 |
| 1720699580 | Hermina Maria Ramos | Clinical Nurse Specialist | 3939 Medical Dr Ste 110, San Antonio, TX 78229-2292 | 2020-08-13 |
| 1225667983 | Sonya Alexandra Flanders | Clinical Nurse Specialist | 2001 Bryan St Ste 600, Dallas, TX 75201-3062 | 2020-04-05 |
| 1417505595 | Kathryn Shepperd Martinez | Clinical Nurse Specialist | 8210 Country Side Dr, San Antonio, TX 78209-2234 | 2019-08-31 |
| 1700432473 | Felecia Lashone Washington | Clinical Nurse Specialist | 25903 Laurel Pass, San Antonio, TX 78260-2472 | 2019-08-17 |
| 1265093082 | Stephanie Koepke | Clinical Nurse Specialist | 706 Philmont Rd, Frisco, TX 75036-3672 | 2019-06-24 |
| 1164992152 | Catherine Elizabeth Ward | Clinical Nurse Specialist | 330 Gina Dr, Kyle, TX 78640-6348 | 2018-12-03 |
| 1588139364 | Sharon Nicole Hester | Clinical Nurse Specialist | 3410 Worth St Ste 545, Dallas, TX 75246-2003 | 2018-10-09 |
| 1467954347 | Brianna Jean Lillehei | Clinical Nurse Specialist | 4525 Guadalupe St Apt 208, Austin, TX 78751-3097 | 2018-03-06 |
| 1831691260 | Melissa Mcintire Sherrod | Clinical Nurse Specialist | 4401 Vermont Ave, Fort Worth, TX 76115-2615 | 2018-03-01 |
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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.