Active NPI
Heather A Shelton, MD
- Neurology Physician
- Bullhead City, AZ
National Provider Identifier
1063403269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 23913
- Practice address
- 3015 Hway 95
# 109
Bullhead City, AZ 86442-4334 - Phone
- (928) 763-5055
- Fax
- (928) 763-5056
- NPI assigned
- Nov 4, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 23913 | AZ | Primary |
Addresses
Primary practice location
3015 Hway 95
# 109
Bullhead City, AZ 86442-4334
Mailing address
PO Box 22666
Bullhead City, AZ 86439-2666
Phone (928) 768-3445
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 403395 | Medicaid | AZ |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mohave Neuro Rehab Consul PC | Neurology | Past | Accepting new patients |
| Mohave Sleep Medicine Associates LLC | Past | Accepting new patients |
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.
-
- Physical Medicine & Rehabilitation Physician
- Fort Mohave, AZ
- NPI 1942291117
Neurology
-
- Sleep Disorder Diagnostic Clinic/Center
- Fort Mohave, AZ
- NPI 1265541304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361232000000",
"number": "1063403269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22666",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864392666",
"telephone_number": "928-768-3445",
"fax_number": "928-788-4239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 HWAY 95",
"address_2": "# 109",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864424334",
"telephone_number": "928-763-5055",
"fax_number": "928-763-5056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON",
"first_name": "HEATHER",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-04",
"last_updated": "2013-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "AZ",
"license": "23913",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "403395",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bullhead City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.