Individual provider Active NPI

Shelby Ann Esman

  • Behavior Technician
  • Ames, IA
National Provider Identifier
1578239083
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1315 S Bell Ave
Ames, IA 50010-7730
Phone
(515) 337-0343
NPI assigned
Aug 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

1315 S Bell Ave
Ames, IA 50010-7730

Mailing address

805 4TH St
Nevada, IA 50201-2016

Other practice location 1

1555 SE Delaware Ave Ste O
Ankeny, IA 50021-4011
Phone (515) 261-2402

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shelbye@axisaba.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
KP Enterprises Iowa Behavior Technician Past Accepting new patients
KP Enterprises Iowa Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1578239083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 4TH ST",
            "city": "NEVADA",
            "state": "IA",
            "postal_code": "502012016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 S BELL AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500107730",
            "telephone_number": "515-337-0343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 SE Delaware Ave Ste O",
            "address_purpose": "LOCATION",
            "city": "Ankeny",
            "state": "IA",
            "postal_code": "500214011",
            "country_code": "US",
            "telephone_number": "515-261-2402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESMAN",
        "first_name": "SHELBY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shelbye@axisaba.com",
            "affiliation": "N",
            "address_1": "1315 S Bell Ave",
            "city": "Ames",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500107730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.