MR. KEVIN MICHEAL SHELTON
NPI 1366565491
Case Manager/Care Coordinator in Los Angeles, CA

Q: What is Kevin Shelton's NPI number?

The NPI number for Kevin Shelton is 1366565491. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Q: What is Kevin Shelton'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 Kevin Shelton was last updated on December 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 April 06, 2007

5715 S BROADWAY, LOS ANGELES, CA 90037(323) 948-0444(323) 948-0419 Get Directions Write a Review

NPPES record last updated: December 15, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mr. Kevin Micheal Shelton NPPES

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

MR. KEVIN MICHEAL SHELTON (NPI 1366565491) is an individual case manager/care coordinator provider in Los Angeles, California and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1366565491

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameMR. KEVIN MICHEAL SHELTON

Location Address5715 S BROADWAYLos Angeles, CA 90037-4131

Mailing Address5715 S BroadwayLos Angeles, CA 90037-4131 · (323) 948-0444 · Fax (323) 948-0419

Phone(323) 948-0444

Fax(323) 948-0419

Sole ProprietorNo

Enumeration DateApril 6, 2007

Last NPPES UpdateDecember 15, 2015

✔ NPI 1366565491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

5715 S BROADWAY, Los Angeles, CA 90037

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Other Identifiers 1

Other743045262CA · Tax Id

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGEL LU

Student in an Organized Health Care Education/Training Program