Amanda Kathleen Shelton, CSFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

165941 Issued in IN

Practice address

1725 N 5TH St
Terre Haute, IN 47804-4010

Phone

(812) 242-3005

NPI assigned

Sep 18, 2018

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 names 1

• Mrs. Amanda Kathleen Phillips Former name

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": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1831673656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 N 5TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 N 5TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044010",
            "telephone_number": "812-242-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "AMANDA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "CSFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "IN",
            "license": "165941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "PHILLIPS",
            "middle_name": "KATHLEEN",
            "prefix": "MRS.",
            "credential": "CST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan Corrine Sharifi, MD
• Ramesh Shatagopam, MD
• Nicole Jean Shaughnessy, NP
• Angela M Shaw, NP
• Maura Shea
• Heather M Shelton, M.D.
• Taylor Michelle Shelton, BS, RBT
• Kindra Lee Shepard, FNP
• Ronald Douglas Shepherd, DMD
• Shail Sheth, MD

• Surgical Assistant in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Surgical Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.