Shelly Bauer, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

209127 Issued in TX

Practice address

5225 S. Loop 286
Suite 210
Lubbock, TX 79424-1319

Phone

(806) 780-4180

NPI assigned

Oct 24, 2014

Last updated

Oct 24, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Epic Health Services, Inc.

  dba Aveanna Heatlhcare

  • Home Health Agency
  • Houston, TX
  • NPI 1407922701
  NPD (past)
• Epic Health Services, Inc.

  dba Aveanna Heatlhcare

  • Home Health Agency
  • Lubbock, TX
  • NPI 1659447944
  NPD (past)

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1871998419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 S. LOOP 289 SUITE 210",
            "address_2": "SENTRY PLAZA TWO",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79424",
            "telephone_number": "806-780-4180",
            "fax_number": "806-744-7458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 S. LOOP 286",
            "address_2": "SUITE 210",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794241319",
            "telephone_number": "806-780-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "SHELLY",
        "credential": "OTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "209127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Subhash C. Batra, M.D.
• Swaran Lata Batra, MD
• Benjamin Batson, DO
• Sarah Denise Batson, APRN-FNP-C
• Rebeccah Bradshaw Baucom, M.D.
• Karen Baricaua Bautista, MSN, FNP-C, RN-BC
• Divyaraj Bavishi
• Traci Bayer, PHARMD
• Charles Victor Bayouth, M.D.
• Kathryn Elizabeth Bayouth, DPT

• Occupational Therapy Assistant in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.