Active NPI
Shelby Ann Meyerink, M.ED., BCBA
- Behavior Analyst
- Altoona, IA
National Provider Identifier
1992245740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-16-24812
- Practice address
- 1625 Adventureland Dr
Suite B
Altoona, IA 50009-2237 - Phone
- (605) 202-0773
- Fax
- (515) 957-3380
- NPI assigned
- Feb 27, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-16-24812 | IA | Primary |
Addresses
Primary practice location
1625 Adventureland Dr
Suite B
Altoona, IA 50009-2237
Mailing address
1625 Adventureland Dr
Suite B
Altoona, IA 50009-2237
Phone (605) 202-0773
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
- Credentials
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488153600000",
"number": "1992245740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 ADVENTURELAND DR",
"address_2": "SUITE B",
"city": "ALTOONA",
"state": "IA",
"postal_code": "500092237",
"telephone_number": "605-202-0773",
"fax_number": "515-957-3380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 ADVENTURELAND DR",
"address_2": "SUITE B",
"city": "ALTOONA",
"state": "IA",
"postal_code": "500092237",
"telephone_number": "605-202-0773",
"fax_number": "515-957-3380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYERINK",
"first_name": "SHELBY",
"middle_name": "ANN",
"credential": "M.ED., BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-27",
"last_updated": "2017-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IA",
"license": "1-16-24812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altoona, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.