Theresa Drees Shell, M.ED

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4394 Bowling Blvd
Louisville, KY 40207-5411

Phone

(502) 523-8477

NPI assigned

Oct 13, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Theresa Greenwald Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1831409754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4394 BOWLING BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075411",
            "telephone_number": "502-523-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4394 BOWLING BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075411",
            "telephone_number": "502-523-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELL",
        "first_name": "THERESA",
        "middle_name": "DREES",
        "credential": "M.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-13",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "GREENWALD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gregory I Sheldon, PA
• Julie Sheldon, OT
• Patricia Aileen Sheldon, LCSW, LMFT, MSSW
• Brenda S Shell, MA, LMFT
• Erika Shell, DNP
• Samantha Shellenberg, LPCA
• Alexandra Shelley
• Erica Shelley, PT, DPT
• Patrisha Shelley, D.O.
• Andrea Shelton, OD

• All providers in Louisville, KY
• Case Manager/Care Coordinator in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.