Shelby Heyboer

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

5202002443 Issued in MI

Practice address

2786 56TH St SW
Wyoming, MI 49418-8708

Phone

(616) 261-3960

NPI assigned

Apr 23, 2015

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1447647722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 146TH AVE",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493169210",
            "telephone_number": "616-514-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2786 56TH ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "494188708",
            "telephone_number": "616-261-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYBOER",
        "first_name": "SHELBY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MI",
            "license": "5202002443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kacy Hersha, D.C.
• Paige Hershberger
• David Arnold Herz, M.D.
• Georgiann Hess
• David R. Heyboer, MD
• Cheryl Ann Hickok, RDH
• Cecilia Hicks
• Susan K Hicks, D.O.
• Jessica Higgins, LMSW
• Higher Health Chiropractic Inc

• Health Maintenance Organization in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Health Maintenance Organization in Michigan

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