AMANDA L SHELBY


Address: 19 Foster St, Worcester, MA 01608-1715
Phone: 5083735607

AMANDA L SHELBY (NPI# 1982204715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982204715
Entity Type Individual
Full Name AMANDA L SHELBY
Credential APRN
Practice Address 19 Foster St
Worcester
MA 01608-1715
Mailing Address 110 Old Kent Rd N
Tolland
CT 06084-3328
Practice Telephone 5083735607
Enumeration Date 2020-10-30
Last Update Date 2020-10-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN2309851 MA Nursing Service Providers
N 163W00000X Registered Nurse 137290 CT Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
9210 CT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 19 FOSTER ST
City WORCESTER
State MA
Zip Code 01608-1715

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245487669 Stephanie Conway Pharmacist 19 Foster St, Worcester, MA 01608-1715 2008-08-27
1205446473 Samantha Jeanne Hill Student in an Organized Health Care Education/Training Program 19 Foster St, Worcester, MA 01608-1715 2020-08-03
1255949889 Kayla Milch Physician Assistant 19 Foster St, Worcester, MA 01608-1715 2020-07-20
1316567696 Nhu-y Nguyen Student in an Organized Health Care Education/Training Program 19 Foster St, Worcester, MA 01608-1715 2020-04-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033721733 Rebecca Smith Morgan Physical Therapist Easter Seals Massachusetts, 484 Main St, Worcester, MA 01608 2020-08-24
1083244057 Marc Labb Counselor 25 Union St 3rd Floor, Worcester, MA 01608 2020-01-18
1154974145 Shanil Shah Student in an Organized Health Care Education/Training Program St Vincent Hospital, Department of Internal Medicine, 123 Summer Street, Worcester, MA 01608 2019-07-19
1194377069 Varun Kommalapati Student in an Organized Health Care Education/Training Program St Vincent Hospital, 123 Summer Street, Worcester, MA 01608 2019-07-11
1992361182 Jenna Recko Physical Therapy Assistant Easter Seals of Massachusetts, 484 Main St, Worcester, MA 01608 2019-05-14
1619452646 Kara Thompson Registered Nurse 100 Martin Luther King Jr Blvd, Worcester, MA 01608 2018-09-25
1427555325 Baran Umut Vardar Student in an Organized Health Care Education/Training Program 123 Summer Street, Saint Vincent Hospital Radiology Dep, Worcester, MA 01608 2018-04-09
1609380765 Mary Elizabeth O'donnell Occupational Therapist Easter Seals Ma, 484 Main Street, Worcester, MA 01608 2017-11-28
1093227316 Oasis Home Care, LLC Home Health 340 Main St Ste 803, Worcester, MA 01608 2017-10-26
1912437500 Peter A Rondon Social Worker 11 Sycamore Street, Worcester, MA 01608 2017-06-15
Find all providers in zip 01608

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508479593 Belina Pupi Nurse Practitioner 3 Mabelle St, Worcester, MA 01602-2017 2020-08-28
1457996704 Augusta Oluremi Ishola Nurse Practitioner 17 Nizam Dr, Worcester, MA 01605-4017 2019-11-11
1891346854 Phoebe Ofosua Amoako Nurse Practitioner 63 Frank St Apt 97, Worcester, MA 01604-1091 2019-09-21
1295390227 Irene Acheampong Nurse Practitioner 2 Pineland Ave Apt 9a, Worcester, MA 01604-1473 2019-05-06
1538660386 Viana Bernard Nurse Practitioner 363 Belmont St, Worcester, MA 01604-1011 2018-02-27
1598137663 Kristen Marie Haviland Nurse Practitioner 180 Vernon St, Worcester, MA 01610-2036 2015-10-28
1801233127 Rachel N Derry Nurse Practitioner 358 Shrewsbury St, Worcester, MA 01604 2013-05-28
1902145287 Virginia Haddad Nurse Practitioner 10 Crillon Rd, Worcester, MA 01605-2308 2013-02-06
1073858981 Heidi Glover Nurse Practitioner 55 Lake Ave North Dept. of Pedi-adolescent, Ummc University Campus, Worcester, MA 01655 2012-12-04
1497083984 Amy Kristen Aviles Nurse Practitioner 3 Aster Pl, Worcester, MA 01603-2201 2009-11-23
Find all providers in WORCESTER

Competitor

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City WORCESTER
Zip Code 01608

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Dataset Information

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.

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