SHELLY L. BALDWIN (NPI# 1992321582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992321582 |
| Entity Type | Individual |
| Full Name | SHELLY L. BALDWIN |
| Practice Address |
1 College Park Decatur IL 62521-8512 |
| Practice Telephone | 2178757211 |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245320803 | Shelly Baldwin | Pediatrics | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2006-10-13 |
| Street Address |
1 COLLEGE PARK |
| City | DECATUR |
| State | IL |
| Zip Code | 62521-8512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927988 | Caleb David Braasch | Pharmacist | 1818 South Airport Rd, Decatur, IL 62521 | 2020-09-16 |
| 1295390490 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
| 1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1154848034 | Zack Shaw | Physical Therapist | 4855-57 East 36, Decatur, IL 62521 | 2017-08-23 |
| 1790032852 | Prashant Morolia | Family Medicine | 4775 E Maryland St, Decatur, IL 62521 | 2012-08-08 |
| 1003188913 | Evergreen Place Decatur, LLC | Assisted Living Facility | 4825 E Evergreen Court, Decatur, IL 62521 | 2012-02-08 |
| 1104133099 | Suzette Marie Shafer | Occupational Therapy Assistant | 1790 S. Fairview Ave., Decatur, IL 62521 | 2010-09-13 |
| 1467784090 | Community Health Improvement Center | Clinic/Center | 1221 East Condit Street, Decatur, IL 62521 | 2010-02-08 |
| 1982839056 | Kelly Clark Dds PC | Dentist | 3737 Us Rt 36 E, Decatur, IL 62521 | 2009-05-19 |
| Find all providers in zip 62521 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962025197 | Yvonne Hsia | Student in an Organized Health Care Education/Training Program | 2510 Twin Oaks Ct Apt 18, Decatur, IL 62526-5846 | 2020-05-21 |
| 1215567722 | Harley Nicole Moore | Student in an Organized Health Care Education/Training Program | 710 14th Ave Se, Decatur, AL 35601-3314 | 2020-01-23 |
| 1922641398 | Maria Victoria Casaine Rodriguez | Student in an Organized Health Care Education/Training Program | 3435 N Druid Hills Rd Apt M, Decatur, GA 30033-3758 | 2019-10-17 |
| 1487216164 | Manan Nilesh Vyas | Student in an Organized Health Care Education/Training Program | 2532 N Decatur Rd Apt 2218, Decatur, GA 30033-6185 | 2019-07-03 |
| 1285112037 | Zachary Steven Habermaas | Student in an Organized Health Care Education/Training Program | 1266 Brookfield Dr, Decatur, IL 62521-9084 | 2018-08-03 |
| 1760976203 | Thomas Wesley Hodo | Student in an Organized Health Care Education/Training Program | 2793 Autumn Lake Ln, Decatur, GA 30034-3559 | 2018-06-19 |
| 1194234815 | Hans Verkerke | Student in an Organized Health Care Education/Training Program | 2473 Mccurdy Way, Decatur, GA 30033-4820 | 2017-09-26 |
| 1073048104 | Jaylon Christopher Joyner | Student in an Organized Health Care Education/Training Program | 2245 Valley View Pl, Decatur, IL 62522-1367 | 2017-04-26 |
| 1679014831 | Luke Naylor | Student in an Organized Health Care Education/Training Program | 1602 Woodland St Se, Decatur, AL 35601-5242 | 2017-03-20 |
| 1902291503 | Emily Evans | Student in an Organized Health Care Education/Training Program | 1811 Lanier St Sw, Decatur, AL 35603-4542 | 2015-03-31 |
| Find all providers in DECATUR | ||||
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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.