Individual provider Active NPI

Shelby K Fillinger, RBT

  • Behavior Technician
  • Charleston, WV
National Provider Identifier
1871125807
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-170251 Issued in WV
Practice address
888 Oakwood Rd Ste 300
Charleston, WV 25314-2071
Phone
(681) 265-0999
NPI assigned
Feb 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-111149 WV
Behavior Technician 106S00000X 21-170251 WV
Behavior Technician 106S00000X RBT-21-170251 WV Primary

Addresses

Primary practice location

888 Oakwood Rd Ste 300
Charleston, WV 25314-2071

Mailing address

888 Oakwood Rd Ste 300
Charleston, WV 25314-2071
Phone (681) 265-0999

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
21-170251WVMDBehavior Technician
RBT-20-111149WVMDBehavior Technician
RBT-21-170251WVMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1871125807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 OAKWOOD RD STE 300",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253142071",
            "telephone_number": "681-265-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 OAKWOOD RD STE 300",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253142071",
            "telephone_number": "681-265-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILLINGER",
        "first_name": "SHELBY",
        "middle_name": "K",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-07",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WV",
            "license": "RBT-20-111149",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WV",
            "license": "21-170251",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WV",
            "license": "RBT-21-170251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.