Annette Marie Shelton, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G5606 Issued in TX

Practice address

2011 E Lamar Blvd Ste 100
Arlington, TX 76006-7332

Phone

(817) 548-0504

Fax

(817) 861-8845

NPI assigned

Jul 19, 2006

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2020 through Apr 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• The Physician & Tutor, P.a.

  • Psychiatry Physician
  • Arlington, TX
  • NPI 1972789832
  NPD (past) Authorized official

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1104845056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 E LAMAR BLVD STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760067332",
            "telephone_number": "817-548-0504",
            "fax_number": "817-861-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 E LAMAR BLVD STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760067332",
            "telephone_number": "817-548-0504",
            "fax_number": "817-861-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "ANNETTE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "G5606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sameed Safdar Sheikh
• Shekinah Inc.
• Shelbeez LLC
• Kiara Shelby
• David Luke Shellenberger, MD
• Grant C Shelton, DC
• Vanessa Shelton, PHARMD.
• Shema14 Transportation LLC
• Samuel Sheng, MD
• Shepherd Lane Dental Associates 2, P.C

• Psychiatry Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.