Shelby Lea Hawkins

Key facts

NPI

1720445752

Entity type

Individual (NPI type 1)

Primary specialty

Student in an Organized Health Care Education/Training Program 390200000X

Practice address

8313 N Garriott Rd
Scottsburg, IN 47170-5211

Phone

(812) 595-8498

NPI assigned

Jan 21, 2016

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 21, 2016.

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1720445752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8313 N GARRIOTT RD",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "471705211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8313 N GARRIOTT RD",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "471705211",
            "telephone_number": "812-595-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "SHELBY",
        "middle_name": "LEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsburg, IN

• Austin Thomas Hall, LSW
• Cinnamon Rose Hammond, OTR
• Mary L Harty, M.D.
• Mallori Wisuri Hathaway, PA-C
• Hatton Family Support Services
• HDS Enterprises, Inc. D/B/a Visiting Angels of Southern Indiana
• Health Centered Chiropractic
• Health Centered of Scottsburg, Inc
• Josef Edward Heidenhofer, DDS
• Polly Hendricks, O.D.

All providers in Scottsburg, IN · Student in an Organized Health Care Education/Training Program in Indiana