SHELLY LYNN MANTHEY (NPI# 1871082354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871082354 |
| Entity Type | Individual |
| Full Name | SHELLY LYNN MANTHEY |
| Credential | RN |
| Practice Address |
2701 W Superior St Ste 101 Duluth MN 55806-1857 |
| Mailing Address |
225 N 59th Ave W Duluth MN 55807-2412 |
| Practice Telephone | 2184284753 |
| Practice Fax Number | 2187330717 |
| Mailing Telephone | 2187330707 |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
1784024 | MN | Nursing Service Providers |
| Street Address |
2701 W SUPERIOR ST STE 101 |
| City | DULUTH |
| State | MN |
| Zip Code | 55806-1857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881217487 | Kelsie Rae Hopkins | Social Worker | 2701 W Superior St Ste 101, Duluth, MN 55806-1857 | 2020-05-19 |
| 1497387450 | Nichol Lynn Sedivy | Registered Nurse | 2701 W Superior St Ste 101, Duluth, MN 55806-1857 | 2020-02-07 |
| 1528553666 | Helen Westgard | Licensed Practical Nurse | 2701 W Superior St Ste 101, Duluth, MN 55806-1857 | 2018-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023339389 | Community Connection of Mn, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2701 W. Superior St., Suite 101, Duluth, MN 55806 | 2010-06-21 |
| 1902998875 | Stephen Thomas Hero | Dentist | 2016 W Superior Street, Duluth, MN 55806 | 2006-09-29 |
| 1851906697 | Tadd William Berg | Specialist/Technologist | 2415 W 9th St, Duluth, MN 55806-1150 | 2020-09-09 |
| 1144787375 | Andrew Eric Norris | Specialist/Technologist | 2316 W 9th St Apt 1, Duluth, MN 55806-1229 | 2019-02-24 |
| 1013187855 | John Peter Vorderbruggen | Technician/Technologist | 901 N 23rd Ave W, Duluth, MN 55806-1244 | 2008-03-07 |
| 1891017638 | Jesse Dykhuis | Doula | 3304 Vernon St, Duluth, MN 55806-1327 | 2010-02-21 |
| 1619063039 | Andrew John Vasil | General Practice | 623 Pacific Ave, Duluth, MN 55806-1336 | 2006-10-04 |
| 1952688871 | Megan Rock | Dental Hygienist | 2720 W 7th St, Duluth, MN 55806-1345 | 2011-11-06 |
| 1265778005 | Jeremy Lee Walton | Occupational Therapist | 514 Winnipeg Ave, Duluth, MN 55806-1449 | 2012-12-26 |
| 1790147049 | Kathleen Ann Miller | Occupational Therapy Assistant | 2963 Exeter St, Duluth, MN 55806-1450 | 2016-03-25 |
| Find all providers in zip 55806 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134762404 | Crystal Marie Macfarlane | Registered Nurse | 2232 Jefferson St, Duluth, MN 55812-2114 | 2019-10-19 |
| 1750648846 | Jodi Johannessen | Registered Nurse | 4961 Rice Lake Rd Ste 105, Duluth, MN 55803-8439 | 2012-04-13 |
| 1497387450 | Nichol Lynn Sedivy | Registered Nurse | 2701 W Superior St Ste 101, Duluth, MN 55806-1857 | 2020-02-07 |
| 1730643560 | Lisa Bruzek | Registered Nurse | 4961 Rice Lake Rd Ste 105, Duluth, MN 55803-8439 | 2019-01-25 |
| 1447721154 | Molly Dwyer Drewlo | Registered Nurse | 4961 Rice Lake Rd Ste 105, Duluth, MN 55803-8439 | 2018-12-07 |
| 1376014084 | Timothy Lyle Fellman | Registered Nurse | 4961 Rice Lake Rd Ste 105, Duluth, MN 55803-8439 | 2018-12-07 |
| 1568956381 | Yvonne I Monien | Registered Nurse | 810 E 4th St, Duluth, MN 55805-2147 | 2018-06-15 |
| 1871953075 | Tiffany Degnan | Registered Nurse | 4815 Burning Tree Rd, Duluth, MN 55811-3800 | 2016-03-01 |
| 1962862375 | Jamie Marie Grills | Registered Nurse | 4815 Burning Tree Rd, Duluth, MN 55811-3800 | 2016-02-26 |
| 1417317827 | Ma-retta Camp | Registered Nurse | 4815 Burning Tree Rd, Duluth, MN 55811-3800 | 2016-02-26 |
| Find all providers in DULUTH | ||||
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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.