Beth Nicole Shelton, CPHT, RPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

RPT28245 Issued in FL

Practice address

2106 Bert Kouns Industrial Loop
Shreveport, LA 71118-3317

Phone

(321) 303-7892

NPI assigned

Apr 25, 2018

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

Other names 1

• Beth Nicole Shelton Antczak Former name

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": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1477041408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6051 ROMA DR APT 810",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711054674",
            "telephone_number": "321-303-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 BERT KOUNS INDUSTRIAL LOOP",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183317",
            "telephone_number": "321-303-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "BETH",
        "middle_name": "NICOLE",
        "credential": "CPHT, RPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "FL",
            "license": "RPT28245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "ANTCZAK",
            "middle_name": "NICOLE SHELTON",
            "credential": "CPHT, RPHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Latricia Nicole Shelby
• Shelley Visconte, Psychologist, L.L.C.
• Patricia Shelton-Rambo, PTA
• Shantel Shelton-Rogers
• Anjelicia Terez Shelton, MPA
• Brandi Shelton
• Natalee Shelton
• Patti June Shelton, PLPC
• Shenells
• David Y. Sheng, MD

• Pharmacy Technician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Pharmacy Technician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.