Shelby Harbison, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT003819 Issued in GA

Practice address

171 Cavalry Way
Building 161
Fort Stewart, GA 31314

Phone

(470) 588-6397

NPI assigned

Nov 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1932703840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S BAYBERRY CT",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617044682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 CAVALRY WAY",
            "address_2": "BUILDING 161",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "31314",
            "telephone_number": "470-588-6397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10529 S Riva Ridge Loop",
            "address_purpose": "LOCATION",
            "city": "Fort Drum",
            "state": "NY",
            "postal_code": "13603",
            "country_code": "US",
            "telephone_number": "315-774-8155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARBISON",
        "first_name": "SHELBY",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096005102",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT003819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Allen Hannah, MA, CCC-A
• Ashley Jordain Hansel, LCSW
• George Hansen
• Richard Francis Hanwacker, MD
• Barbara H Haralson, NP
• Barbara K Hardy, LCSW
• Alexander Harmon, LPN
• Shirley Levette Harp, PHARMD
• Meredith Wills Harper Higley, PHARM.D., BCPS, BCOP
• Christopher Arthur Harper, PA-S

• Athletic Trainer in Fort Stewart, GA
• Providers in Fort Stewart, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.