SHELLIE WYATT (NPI# 1841640034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841640034 |
| Entity Type | Individual |
| Full Name | SHELLIE WYATT |
| Practice Address |
7236 Jackson Ave Warren MI 48091-2912 |
| Practice Telephone | 5863838044 |
| Mailing Telephone | 5863838044 |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
7236 JACKSON AVE |
| City | WARREN |
| State | MI |
| Zip Code | 48091-2912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548615172 | Amanda Lynn Kelsey | Nurse Practitioner | 21647 Ryan Road, Warren, MI 48091 | 2016-05-02 |
| 1902284474 | Daejana Maldonado | Licensed Practical Nurse | 7519 Toepfer, Warren, MI 48091 | 2015-05-15 |
| 1245637743 | Jerami Roy | Recreation Therapist | 7086 E 9 Mile, Warren, MI 48091 | 2014-11-26 |
| 1265698344 | Amanda Sarah Yousif-mansour | Dentist | 2442 E 10 Mile Road, Warren, MI 48091 | 2008-07-29 |
| 1326171166 | Sunshine Dental Center PC | Dentist | 21761 Ryan Rd, Warren, MI 48091 | 2007-03-13 |
| 1487709630 | Albert Spickers | General Practice | 26193 Meredith Drive, Warren, MI 48091 | 2007-01-25 |
| 1487706859 | Rita Jean Rose | Physician Assistant | 2104 E. 11 Mile Road, Suite 600, Warren, MI 48091 | 2007-01-17 |
| 1790835452 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 2000 Ten Mile Rd., Warren, MI 48091 | 2007-01-12 |
| 1942363759 | Carolyn Joan Sucaet | Physical Therapist | 20952 12 Mile Road, Suite 110, St. Clair Shores, FM 48091 | 2006-12-19 |
| 1013070135 | Mcnichols Xray Clinic PC | Radiology | 21230 Dequindre Road, Southeast Michigan Surgical Hospital, Warren, MI 48091 | 2006-12-19 |
| Find all providers in zip 48091 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609400522 | Vickie Gaines | Technician, Other | 28096 Palomino Dr, Warren, MI 48093-4232 | 2020-02-29 |
| 1265982037 | Maria Fatima Agabe Harder | Technician, Other | 32615 Tecla Dr, Warren, MI 48088-6253 | 2016-10-05 |
| 1366992257 | Calandra Stuart | Technician, Other | 22130 Karam Ct, Warren, MI 48091-5216 | 2016-10-04 |
| 1366990376 | Theodora Kalfa-bremer | Technician, Other | 31723 Norrid Cir, Warren, MI 48092-5005 | 2016-09-19 |
| 1174070965 | Charlotte Johnson | Technician, Other | 113 S Lafayette Blvd, Warren, MI 48091-2208 | 2016-09-08 |
| 1497202782 | Jessica Plum | Technician, Other | 13920 Hobart Ave, Warren, MI 48089-5011 | 2016-09-05 |
| 1386190981 | Donsia Alexander | Technician, Other | 29306 Merrick Ave., Warren, MI 48092-5417 | 2016-09-01 |
| 1770037772 | Sarah Ann Anderson | Technician, Other | 27914 Sutherland Dr, Warren, MI 48088-6083 | 2016-08-08 |
| 1386198471 | Alena Bacalia | Technician, Other | 4427 Fenwick Dr, Warren, MI 48092-3019 | 2016-08-07 |
| 1316491624 | Kathryn Harris | Technician, Other | 4047 Hillcrest Dr, Warren, MI 48092-1104 | 2016-08-04 |
| Find all providers in WARREN | ||||
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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.