SHELBY ROSS (NPI# 1871971234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871971234 |
| Entity Type | Individual |
| Full Name | SHELBY ROSS |
| Practice Address |
1498 Se Tech Center Pl Suite 240 Vancouver WA 98683-9591 |
| Mailing Address |
1498 Se Tech Center Pl Vancouver WA 98683-9591 |
| Practice Telephone | 3605971309 |
| Mailing Telephone | 5034943633 |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2018-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA60705470 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | PA179810 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831692318 | Shelby Alexis Ross | Counselor | 1664 Broadway, El Cajon, CA 92021-5201 | 2018-03-12 |
| Street Address |
1498 SE TECH CENTER PL SUITE 240 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98683-9591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386626232 | Jessica Ann Dorrington | Physical Therapist | 1498 Se Tech Center Pl, Ste 160, Vancouver, WA 98683-9591 | 2005-11-16 |
| 1942709134 | David Lee Taub | Counselor | 1498 Se Tech Center Pl, Vancouver, WA 98683-9591 | 2018-02-02 |
| 1518418854 | Andrea Hamilton | Dietitian, Registered | 1498 Se Tech Center Pl, Suite 240, Vancouver, WA 98683-9591 | 2016-10-21 |
| 1245685684 | Lisa Hansen | Clinical Nurse Specialist | 1498 Se Tech Center Pl, Suite 240, Vancouver, WA 98683-9591 | 2016-05-03 |
| 1053711655 | Emily Watts | Counselor | 1498 Se Tech Center Pl, Suite 383, Vancouver, WA 98683-9591 | 2014-09-02 |
| 1215364237 | Argyro Julie Moustakas | Counselor | 1498 Se Tech Center Pl, Suite 385, Vancouver, WA 98683-9591 | 2013-10-04 |
| 1508201906 | River Rock Church | Social Worker | 1498 Se Tech Center Pl, Suite 385, Vancouver, WA 98683-9591 | 2013-04-30 |
| 1548506587 | Northwest Cancer Specialists, PC | Clinical Medical Laboratory | 1498 Se Tech Center Pl, Suite 390, Vancouver, WA 98683-9591 | 2012-12-19 |
| 1982976387 | Adams Center for Psychological Wellness, LLC | Psychologist | 1498 Se Tech Center Pl, Suite 385, Vancouver, WA 98683-9591 | 2012-01-31 |
| 1194040139 | Kathleen Alison Dunham | Surgery | 1498 Se Tech Center Pl, Suite 240, Vancouver, WA 98683-9591 | 2010-04-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761222 | Nathaniel James Eugene Powell | Behavior Technician | 4101se 192nd Ave, Ste 101, Vancouver, WA 98683 | 2020-02-07 |
| 1295294973 | Ubmhc1, LLC | Clinical Medical Laboratory | 18110 Southeast 34th St, Building 2, Suite 240, Vancouver, WA 98683 | 2019-03-13 |
| 1982116695 | Amy K Adams | Massage Therapist | 2716 Se 169th Ave, X-232, Vancouver, WA 98683 | 2017-11-03 |
| 1477088920 | Alexandra Ransonet | Dental Hygienist | 19111 Se 34th. St., Vancouver, WA 98683 | 2017-04-21 |
| 1639618630 | Digestive Gi Care | Internal Medicine | 305 Sw Chkalov Dr, 111-140, Vancouver, WA 98683 | 2017-02-23 |
| 1447706742 | Jennifer Horst | Massage Therapist | 3401 Se 192nd. Ave. Suite 107, Vancouver, WA 98683 | 2016-08-28 |
| 1154702728 | Kacie Marie Hamreus | Physician Assistant | 3101 Se 192nd Avenue, Vancouver, WA 98683 | 2015-06-09 |
| 1851782338 | Kathryn Wiedeman | Physical Therapy Assistant | 801 Se Park Crestt Ave, Vancouver, WA 98683 | 2015-02-05 |
| 1407255326 | Jesse Ryan Moses | Dentist | 16600 Se 15th Street, Suite A, Vancouver, WA 98683 | 2014-08-15 |
| 1366869893 | Stephen J Wold II | Podiatrist | 16701 Ne Mcgillivray Blvd, Ste 220, Vancouver, WA 98683 | 2014-03-21 |
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| 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 |
|---|---|---|---|---|
| 1760028013 | Nina Mulargia | Physician Assistant | 4912 Ne 54th Ave, Vancouver, WA 98661-2742 | 2019-11-21 |
| 1902387863 | Theodore Rohan Thomas IIi | Physician Assistant | 2370 E 3rd Loop # 203a, Vancouver, WA 98661-7725 | 2018-08-28 |
| 1902310345 | Elowyn Smith | Physician Assistant | 16219 Se 12th St Ste 206, Vancouver, WA 98683-8906 | 2017-11-21 |
| 1154702728 | Kacie Marie Hamreus | Physician Assistant | 3101 Se 192nd Avenue, Vancouver, WA 98683 | 2015-06-09 |
| 1275910929 | Brandon Bruce Mascott | Physician Assistant | 16811 Se Mcgillivray Blvd # 101, Vancouver, WA 98683-3404 | 2015-05-01 |
| 1043614167 | Robyn Elizabeth Nash | Physician Assistant | 812 Se 136th Ave, Unit #l126, Vancouver, WA 98683-6943 | 2014-10-17 |
| 1588935498 | Krista Letsch | Physician Assistant | 14201 Ne 20th Ave Ste 3101, Vancouver, WA 98686-6414 | 2012-01-24 |
| 1528335130 | Jaime Erin Hamilton | Physician Assistant | 900 Ne 139th St Ste 202, Vancouver, WA 98685-2513 | 2011-11-28 |
| 1669760120 | Todd J. Cichosz | Physician Assistant | 2510 Columbia House Blvd, Vancouver, WA 98661-7763 | 2011-07-19 |
| 1992092324 | Jaime Larynn Simpkins | Physician Assistant | 400 Ne Mary Joseph Place, Vancouver, WA 98664 | 2011-07-06 |
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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.