Kelley Booker-Shelton

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

10463 Grant Line Rd Ste 118
Elk Grove, CA 95624-4049

Phone

(916) 833-1864

Fax

(916) 685-4540

NPI assigned

Mar 23, 2015

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": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1285028795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10463 GRANT LINE RD STE 118",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956244049",
            "telephone_number": "916-833-1864",
            "fax_number": "916-685-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10463 GRANT LINE RD STE 118",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956244049",
            "telephone_number": "916-833-1864",
            "fax_number": "916-685-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKER-SHELTON",
        "first_name": "KELLEY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Boldt, M.S., BCBA
• Christine Bolling
• Janaeh Bona, BCBA
• Roberto Bondoc, PT
• Sara Helena Bonilla-Larsen, MD
• Navneet Boparai, NP
• Megan Borbon, PH.D.
• Rachel Leigh Borges
• Kristian Borofka, DO
• Christina M Borre

• Driver in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Driver in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.