Bethany Shelly

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

800 Florida Ave NE # 1844
Washington, DC 20002-3600

Phone

(317) 581-0565

NPI assigned

Mar 1, 2012

Last updated

Mar 1, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1093089534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 FLORIDA AVE NE # 1844",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 FLORIDA AVE NE # 1844",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023600",
            "telephone_number": "317-581-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLY",
        "first_name": "BETHANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Shelby- Rowe
• Vivian Irene Penelope Sheliga, DSSW
• Deborah Permut Shelkrot, PSY.D.
• Syaria Shell
• Emily S Shelley, P.A.
• Claire Shelly
• Madison Anne Shelly
• Megan Shelly
• Patricia Shelly
• Shelton R Penn DDS PC

• Community Health Worker in Washington, DC
• Providers in Washington, DC by specialty
• Community Health Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.