Shelby R Tarango, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3872 Issued in NM

Practice address

173 El Camino Campo
Corrales, NM 87048-7518

Phone

(719) 289-5766

NPI assigned

Mar 6, 2018

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

Enrolled in NM

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sentry Home Health Care LLC

  • Home Health Agency
  • Roswell, NM
  • NPI 1538828835
  NPD
• Sentry Safety and Physical Therapy Specialists, LLC

  • Physical Therapist
  • Roswell, NM
  • NPI 1619349743

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1366944266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 TUNDRA SWAN CT NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871204113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 EL CAMINO CAMPO",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870487518",
            "telephone_number": "719-289-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARANGO",
        "first_name": "SHELBY",
        "middle_name": "R",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "3872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kathleen Slattery, MSW
• Kristine Susan Souza, LMFT
• David Ellis Stinchcomb, M.D.
• C Dayne Sultrmeier Williams, OT
• Ana Sutulov Marin, CPT
• Thomas J. Taylor, MD, MPH
• Alyson P Thal, M.D.
• The Sports Medicine Clinic
• The Victorian House Sleep Center LLC
• Torres Medical Consultants, PC

• Occupational Therapist in Corrales, NM
• Providers in Corrales, NM by specialty
• Occupational Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.