Shelby Rayne Powell, MS, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

281744 Issued in KY

Practice address

2904 Foltz Dr
Edgewood, KY 41017-2525

Phone

(859) 795-3000

Fax

(317) 520-8200

NPI assigned

Jul 3, 2019

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 identifiers 1

Other names 1

• Shelby Rayne Hedrick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Hopebridge, LLC

  • Child & Adolescent Psychiatry Physician
  • Edgewood, KY
  • NPI 1043719503

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1639731102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 FOLTZ DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410172525",
            "telephone_number": "859-795-3000",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "SHELBY",
        "middle_name": "RAYNE",
        "credential": "MS, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "281744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA CERTIFICATE",
            "identifier": "1-22-61641",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "HEDRICK",
            "middle_name": "RAYNE",
            "credential": "MS, BCBA, LBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Olivia Pohlmann
• Robert J Polacek, MD
• Ashley Nicole Pope, APRN
• Rebecca Elise Popham, D.O.
• Jaise Thekkan Poulose, M.D.
• Linda Poynter, R.D.H
• Suraj Prakash, M.D., M.B.A
• Steven H Press, ARNP
• Robert Lawrence Prichard Jr., MD
• Kiersten Proctor, DNP, APRN, FNP-C

• Behavior Analyst in Edgewood, KY
• Providers in Edgewood, KY by specialty
• Behavior Analyst in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.