Shelby Koffi

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1521 Merrill Dr Ste D220
Little Rock, AR 72211-1654

Phone

(501) 660-6893

Fax

(501) 954-7798

NPI assigned

Aug 1, 2024

Last updated

Aug 1, 2024By 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": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1124857669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251970",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722251970",
            "telephone_number": "501-666-8686",
            "fax_number": "501-660-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 MERRILL DR STE D220",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722111654",
            "telephone_number": "501-660-6893",
            "fax_number": "501-954-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOFFI",
        "first_name": "SHELBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tommy Roland Koehler, MD
• Kristen Koen, LAC
• Kylie Ann Koeneke, OTR/L
• Martha Jean Koeninger, LAC
• Suzanne M Koesy, RPH
• Annalyse Kohley, MD
• Nithya Prathima Koka, MD
• Charles Paul Kokes, M.D.
• Abubaker Koko
• David C Kolb, M.D.

• Counselor in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.