Shelby A Sewell, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

611121 Issued in TX

Practice address

2700 Woodland Rd Apt 507
Texarkana, AR 71854-3316

Phone

(903) 733-7114

Fax

(888) 329-6432

NPI assigned

Oct 22, 2012

Last updated

Jul 13, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1790038164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 WOODLAND RD APT 507",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718543316",
            "telephone_number": "903-733-7114",
            "fax_number": "888-329-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 WOODLAND RD APT 507",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718543316",
            "telephone_number": "903-733-7114",
            "fax_number": "888-329-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEWELL",
        "first_name": "SHELBY",
        "middle_name": "A",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-22",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "611121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seniors for Senior Care (Seniors for Seniors)
• Karine Sensiba, MD
• Serenity Hospice
• Serenity Pathways to Independence, Inc.
• Austin Sewell
• Scott Anthony Seymore, MHPP
• Alcanio Shanks
• Michael Allen Shaw, MD
• Marie T Shelton
• Steven Elliot Shelton

• Registered Nurse First Assistant in Texarkana, AR
• Providers in Texarkana, AR by specialty
• Registered Nurse First Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.