LAURA SHELLMAN (NPI# 1891040812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891040812 |
| Entity Type | Individual |
| Full Name | LAURA SHELLMAN |
| Credential | PMHNP-BC, FNP-C |
| Practice Address |
748 14th Avenue Longview WA 98632 |
| Mailing Address |
Po Box 2394 Longview WA 98632 |
| Practice Telephone | 3602005419 |
| Practice Fax Number | 3602006736 |
| Mailing Telephone | 3602005419 |
| Mailing Fax Number | 3602006736 |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2020-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP61091547 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
68788 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R38040 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP61091547 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
748 14TH AVENUE |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477785541 | Katherine Lora Blackstone Allen | Counselor | 748 14th Avenue, Longview, WA 98632 | 2009-08-21 |
| 1588123228 | Vicky Ilene Coauette-owens | Counselor | 748 14th Avenue, Longview, WA 98632 | 2019-03-12 |
| 1033686795 | Ivan David Nelson | Peer Specialist | 748 14th Avenue, Longview, WA 98632 | 2018-10-30 |
| 1205301017 | Kodee Paul Chase | Counselor | 748 14th Avenue, Longview, WA 98632 | 2018-10-08 |
| 1265939730 | Hollie Burr | Counselor | 748 14th Avenue, Longview, WA 98632 | 2018-04-10 |
| 1306382957 | Constance M Stevenson | Counselor | 748 14th Avenue, Longview, WA 98632 | 2017-01-06 |
| 1982082434 | Timothy Bales | Counselor | 748 14th Avenue, Longview, WA 98632 | 2015-05-15 |
| 1265810881 | Gregory Ramsay | Counselor | 748 14th Avenue, Longview, WA 98632 | 2015-05-14 |
| 1891074076 | Vincent John Straube | Counselor | 748 14th Avenue, Longview, WA 98632 | 2011-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789524 | Nichelle Pierce | Nurse Practitioner | 1103 Jonquil Dr, Longview, TX 75601-4021 | 2020-04-20 |
| 1225023559 | June S Longway | Nurse Practitioner | 720 14th Ave, Longview, WA 98632-2315 | 2005-09-13 |
| 1376167254 | Gareth John Penta | Nurse Practitioner | 1615 Delaware St, Longview, WA 98632-2367 | 2020-06-05 |
| 1194356600 | Tiffany Terry | Nurse Practitioner | 1615 Delaware St, Longview, WA 98632-2367 | 2020-02-03 |
| 1942770714 | Tiffany Gayla Clendening | Nurse Practitioner | 410 N 4th St, Longview, TX 75601-6511 | 2018-12-04 |
| 1841765864 | Tod C Peterson | Nurse Practitioner | 600 Broadway St, Longview, WA 98632-3256 | 2018-10-05 |
| 1407336977 | Jennifer Michelle Wood | Nurse Practitioner | 700 E Marshall Ave, Longview, TX 75601-5580 | 2018-08-15 |
| 1902392871 | Jeremiah R Sanders | Nurse Practitioner | 1300 N 6th St, Longview, TX 75601-5567 | 2018-07-03 |
| 1861917882 | Roderick Jerome Williams | Nurse Practitioner | 600 Broadway St, Longview, WA 98632-3256 | 2017-08-10 |
| 1205386349 | Robin Watson | Nurse Practitioner | 1300 N 6th St, Longview, TX 75601-5567 | 2016-10-13 |
| Find all providers in LONGVIEW | ||||
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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.