Shelbie Ann Pope

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9418834-4405 Issued in UT

Practice address

8430 Gambel Dr Apt Q3
Park City, UT 84098-4603

Phone

(208) 850-7650

NPI assigned

Jun 15, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1356919492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8430 GAMBEL DR APT Q3",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840984603",
            "telephone_number": "208-850-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8430 GAMBEL DR APT Q3",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840984603",
            "telephone_number": "208-850-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPE",
        "first_name": "SHELBIE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "9418834-3102",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "9418834-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Anne Polukoff, OTR/L
• Elena Diane Polychronis
• Matthew Weston Pommerville, FNP
• Angelique Mary Poncelet, LPC
• Hillary Jane Poor, CSW
• Patrick Porter, PT, DPT
• Ranae Power, APRN
• Charlotte Powers, NP
• Precision Dentures, LLC (Precision Mobile Care)
• Precision Surgical & Wound Care

• Family Nurse Practitioner in Park City, UT
• Providers in Park City, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.