Roberta Ann Shellenberger, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN030426 Issued in AZ

Practice address

455 Willow
Globe, AZ 85501-2295

Phone

(928) 402-5814

Fax

(928) 425-8936

NPI assigned

Jan 24, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1982881629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 WILLOW",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855012295",
            "telephone_number": "928-402-5814",
            "fax_number": "928-425-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 WILLOW",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855012295",
            "telephone_number": "928-402-5814",
            "fax_number": "928-425-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLENBERGER",
        "first_name": "ROBERTA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN030426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas H Sanford, MD
• John Allen Saums, PA
• Steven J Sawyer, MD
• Caycie Lee Seaver, RNP
• Peter R Seipel, MD
• Stuart Matthew Shellenberger, CRNA
• Scott H Shumway, CRNA
• Joseph Simmons
• Steven Situ
• Six Crowns, Inc.

• School Registered Nurse in Globe, AZ
• Providers in Globe, AZ by specialty
• School Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.