Individual provider Active NPI

Shelly Marie Parson, LBSW

  • Case Manager/Care Coordinator
  • Abilene, TX
National Provider Identifier
1811289804
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
25989 Issued in TX
Practice address
949 Plum St
Abilene, TX 79601-4200
Phone
(325) 671-4613
Fax
(325) 794-1394
NPI assigned
May 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 25989 TX Primary

Addresses

Primary practice location

949 Plum St
Abilene, TX 79601-4200

Mailing address

3282 S 13TH St
Abilene, TX 79605-4034
Phone (325) 690-3770

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

State licenses

LicenseStateTypeSpecialty
25989TXMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Abilene Independent Schiool District Past Accepting new patients

Organizations & group practices 1

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": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1811289804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3282 S 13TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796054034",
            "telephone_number": "325-690-3770",
            "fax_number": "325-794-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 PLUM ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796014200",
            "telephone_number": "325-671-4613",
            "fax_number": "325-794-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSON",
        "first_name": "SHELLY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LBSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-09",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "25989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.