SHELLY NICHOLE STAFFORD
NPI 1285240143
Case Manager/Care Coordinator in Salem, OR

Q: What is Shelly Stafford's NPI number?

The NPI number for Shelly Stafford is 1285240143. It was assigned to this individual provider in the NPPES registry on September 16, 2020.

Q: What is Shelly Stafford's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Shelly Stafford was last updated on September 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 16, 2020

2645 PORTLAND RD NE STE 120, SALEM, OR 97301(503) 390-5637 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 30, 2022, Sep 16, 2020 (2 updates tracked since 2020).

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About Shelly Nichole Stafford NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELLY NICHOLE STAFFORD (NPI 1285240143) is an individual case manager/care coordinator provider in Salem, Oregon and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1285240143

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameSHELLY NICHOLE STAFFORD

Location Address2645 PORTLAND RD NE STE 120Salem, OR 97301-0200

Mailing Address2645 Portland Rd Ne Ste 120Salem, OR 97301-0200 · (503) 390-5637 · Fax (503) 393-3135

Phone(503) 390-5637

Sole ProprietorYes

Enumeration DateSeptember 16, 2020

Last NPPES UpdateSeptember 30, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2020

✔ NPI 1285240143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

2645 PORTLAND RD NE STE 120, Salem, OR 97301

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