Individual provider Active NPI

Shelby Anmarie Albers

  • Behavior Technician
  • Elk River, MN
National Provider Identifier
1043936149
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
19437 Evans St NW
Elk River, MN 55330-1074
Phone
(763) 515-3532
Fax
(763) 515-6282
NPI assigned
Oct 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

19437 Evans St NW
Elk River, MN 55330-1074

Mailing address

19437 Evans St NW
Elk River, MN 55330-1074
Phone (763) 515-3532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northway Academy, Inc. CurrentSince Oct 23, 2022 Accepting new patients
Northway Academy, Inc. PastSince Oct 23, 2022 Accepting new patients

Locations

19437 Evans St NW
Elk River, MN 55330
Phone (763) 515-3532

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1043936149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19437 EVANS ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301074",
            "telephone_number": "763-515-3532",
            "fax_number": "763-515-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19437 EVANS ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301074",
            "telephone_number": "763-515-3532",
            "fax_number": "763-515-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERS",
        "first_name": "SHELBY",
        "middle_name": "ANMARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk River, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.