MRS. AMANDA KATHLEEN SHELTON (NPI# 1831673656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831673656 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA KATHLEEN SHELTON |
| Other Name | MRS. AMANDA KATHLEEN PHILLIPS |
| Credential | CSFA |
| Practice Address |
1725 N 5th St Terre Haute IN 47804-4010 |
| Practice Telephone | 8122423005 |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2018-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
165941 | IN | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962025296 | Amanda Kay Shelton | Counselor | 6202 Iola Ave Ste 111, Lubbock, TX 79424-2745 | 2020-05-20 |
| 1780217240 | Amanda Shelton | Physical Therapy Assistant | 777 Church St, Lake Zurich, IL 60047-1404 | 2020-02-12 |
| 1417317470 | Amanda Marie Shelton | Social Worker | 7737 Kercheval St Ste 217, Detroit, MI 48214-2437 | 2016-03-03 |
| 1518570993 | Amanda Greer Shelton | Nurse Practitioner | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 | 2020-08-26 |
| 1689205601 | Amanda Shelton | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-01-29 |
| 1629556451 | Amanda Shelton | Specialist/Technologist | 26000 Se Stark St, Gresham, OR 97030-3300 | 2018-08-02 |
| 1760933089 | Amanda Caress Shelton | Nurse Practitioner | 1901 D St Se, Washington, DC 20003 | 2016-10-21 |
| 1538466164 | Amanda Michelle Shelton | Case Manager/Care Coordinator | 6110 Shallowford Rd, Suite B, Chattanooga, TN 37421-1894 | 2011-02-17 |
| 1386951614 | Amanda Kay Shelton | Counselor | 1206 Highway 411, Vonore, TN 37885-2455 | 2010-09-08 |
| 1164653531 | Amanda Shelton | Case Manager/Care Coordinator | 1807 Smith St, Logansport, IN 46947-1576 | 2009-08-04 |
| Street Address |
1725 N 5TH ST |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47804-4010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972618775 | Andrew Tad Mcdonald | Family Medicine | 1725 N 5th St, Terre Haute, IN 47804-4010 | 2006-08-20 |
| 1154963445 | Collin Wollenmann | Clinic/Center | 1725 N 5th St, Terre Haute, IN 47804-4010 | 2019-10-08 |
| 1275189284 | Emily Knetsch | Speech-Language Pathologist | 1725 N 5th St, Terre Haute, IN 47804-4010 | 2019-08-15 |
| 1255987186 | Kendall Bruner | Physical Therapist | 1725 N 5th St, Terre Haute, IN 47804-4010 | 2019-08-15 |
| 1801365598 | Andrew Ray Hughes | Registered Nurse | 1725 N 5th St, Terre Haute, IN 47804-4010 | 2018-11-26 |
| 1164913703 | Kacy Jo Rogers | Nurse Practitioner | 1725 N 5th St, Terre Haute, IN 47804-4010 | 2018-05-18 |
| 1205339157 | Michelle L Rupska | Nurse Practitioner | 1725 N 5th St, Terre Haute, IN 47804-4010 | 2018-03-16 |
| 1770013328 | Attie Jane Kempf | Physical Therapist | 1725 N 5th St, Terre Haute, IN 47804-4010 | 2017-06-15 |
| 1942737010 | Chantelle M Allen | Anesthesiology | 1725 N 5th St, Terre Haute, IN 47804-4010 | 2017-05-18 |
| 1356878623 | Jessica Ann Hagan | Anesthesiology | 1725 N 5th St, Terre Haute, IN 47804-4010 | 2017-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568971885 | Tiffany Marshall | Physical Therapist | North At Uap Bone & Joint Center, Lower Level 1725 North 5th Street, Terre Haute, IN 47804 | 2017-09-29 |
| 1336565423 | Deondra Allison Cottrill | Physical Therapy Assistant | 1725 N. 5th Street, Union Hospital Therapy Services, Terre Haute, IN 47804 | 2014-03-13 |
| 1043635170 | Patricia Klos | Physical Therapy Assistant | 1606 Nth 7th Street, Terre Haute, IN 47804 | 2014-02-26 |
| 1043565476 | Debra Denehie Hills | Registered Nurse | 620 8th Avenue, Terre Haute, IN 47804 | 2012-07-23 |
| 1841503257 | Meredeth Su Gray | Dentist | 1608 Lafayette Avenue, Terre Haute, IN 47804 | 2010-07-15 |
| 1083946628 | John Barton, Lpt | Health Maintenance Organization | 1818 N 3rd Street, Terre Haute, IN 47804 | 2010-02-08 |
| 1750584009 | Kool Smiles In-3, PC | Dentist | 1800 Fort Harrison Rd, Terra Haute, IN 47804 | 2007-06-06 |
| 1619006988 | Union Hospital Inc | Student in an Organized Health Care Education/Training Program | 1513 N 6 1-2 Street, Terre Haute, IN 47804 | 2007-03-05 |
| 1730243080 | John Lee Nichols | Dentist | 1246 Maple Ave, Terre Haute, IN 47804 | 2006-12-21 |
| 1093894057 | Isaac N Mitre | Obstetrics & Gynecology | 1623 N 4th Street, Terre Haute, IN 47804 | 2006-11-02 |
| Find all providers in zip 47804 | ||||
| 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 |
|---|---|---|---|---|
| 1932750056 | Brazzale Surgical Assisting LLC | Specialist/Technologist, Other | 1911 Huppenthal Dr, Schererville, IN 46375-3008 | 2019-09-20 |
| 1043868839 | Danielle Rekitzke | Specialist/Technologist, Other | 745 Hiawatha Ct, Lowell, IN 46356-1631 | 2019-08-27 |
| 1104392208 | Hassan Hanna | Specialist/Technologist, Other | 375 Kingsmill Dr, Chesterton, IN 46304-2266 | 2018-10-17 |
| 1568992055 | Ariel Patricia Brazzale | Specialist/Technologist, Other | 4936 Pheasant Ct, Schererville, IN 46375-3384 | 2017-06-15 |
| 1295275337 | Kristin Curtis | Specialist/Technologist, Other | 103 Taylors Way, North Liberty, IN 46554-9223 | 2017-03-07 |
| 1821536574 | Craig Cole | Specialist/Technologist, Other | 901 Somerset Ct, Sellersburg, IN 47172-2811 | 2017-02-02 |
| 1275075137 | Dusko Mirjanic | Specialist/Technologist, Other | 133 Holly Ln, Schererville, IN 46375-1177 | 2016-11-09 |
| 1447709118 | Christina L. Hope | Specialist/Technologist, Other | 8141 S Emerson Ave Suite A, Indianapolis, IN 46237-8560 | 2016-09-23 |
| 1811376494 | Jeremy Ingram | Specialist/Technologist, Other | 1806 Bono Rd Apt 16, New Albany, IN 47150-4680 | 2015-05-28 |
| 1861800195 | Audie Williams | Specialist/Technologist, Other | 438 W Clearwater Dr, Warsaw, IN 46582-7769 | 2014-07-30 |
| Find all providers with the same taxonomy | ||||
| City | TERRE HAUTE |
| Zip Code | 47804 |
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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.