Patricia Shelton-Rambo, PTA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18174 Issued in LA

Practice address

2210 Line Ave Ste 207
Shreveport, LA 71104-2134

Phone

(318) 675-1112

NPI assigned

Dec 5, 2018

Last updated

Dec 21, 2023By 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 3

Addresses

Other identifiers 1

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": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1952871733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1415",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710581415",
            "telephone_number": "318-518-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 LINE AVE STE 207",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042134",
            "telephone_number": "318-675-1112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "139 Military Road Highway 371",
            "address_purpose": "LOCATION",
            "city": "Ringgold",
            "state": "LA",
            "postal_code": "71068",
            "country_code": "US",
            "telephone_number": "318-518-4521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELTON-RAMBO",
        "first_name": "PATRICIA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "18174",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "LA",
            "license": "A5169",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417384025",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lonzo Sheffield III
• Mohammad Sheikh
• Christopher Lindon Shelby, MD
• Latricia Nicole Shelby
• Shelley Visconte, Psychologist, L.L.C. (Goebel, Vigen, & Associates)
• Shantel Shelton-Rogers
• Anjelicia Terez Shelton, MPA
• Beth Nicole Shelton, CPHT, RPHT
• Brandi Shelton
• Natalee Shelton

• Clinical Social Worker in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.