Shamelya Marie Etier, C.M.A

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

13151 Emily Rd Ste 109
Dallas, TX 75240-8989

Phone

(469) 677-2411

NPI assigned

Jun 16, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Medical Assistant

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1558091082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 MEADOWCOVE CIR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750432725",
            "telephone_number": "469-778-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13151 EMILY RD STE 109",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752408989",
            "telephone_number": "469-677-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETIER",
        "first_name": "SHAMELYA",
        "middle_name": "MARIE",
        "credential": "C.M.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bodiekandies-HR@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Corporate Office Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1126 Woodway Dr",
            "city": "Garland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750423962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caroline Elisabeth Etheridge, LPC ASSOCIATE
• Kristina Marie Etheridge, NP
• Cecilia Grace Ethun
• Kristen Nardozzi Etibo
• Brooke Elisabeth Etie, LCSW
• Itoro Cosmas Etim
• Yasser Etman, MD
• Kevin Etter
• Mark Raymond Ettinger, MD
• Stacy Gail Ettinger, CPNP

• Contractor in Dallas, TX
• Providers in Dallas, TX by specialty
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.