Shelby Elliott

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Practice address

1634 Jim Bridger Ave
Casper, WY 82604-3121

Phone

(307) 797-4886

NPI assigned

Jan 23, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1013454438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 JIM BRIDGER AVE",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826043121",
            "telephone_number": "307-797-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 JIM BRIDGER AVE",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826043121",
            "telephone_number": "307-797-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "SHELBY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Imaging Center LLC
• Elite Therapy Services
• Elkhorn Valley Rehabilitation Hospital LLC
• David Arnold Ellbogen, M.D.
• Roxanna R Elliott-Reno, R.N.
• Kaley Ellis, AU.D
• Sean Frank Ellis, DDS
• Amy Marie Elm, RN
• Tricia Elston, MA, CCC-SLP
• Julie Elvestad

• Child Intellectual and/or Developmental Disabilities Respite Care in Casper, WY
• Providers in Casper, WY by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.