DR. CHELSEA MARIE SHINE DO NPI 1124607080

NPI Information

  • NPI: 1124607080
  • Provider Name: DR. CHELSEA MARIE SHINE, DO
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 501 MIDWESTERN PKWY E
    WICHITA FALLS, TX
    ZIP 76302
  • Phone: (940) 716-5750

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NPI Details

DR. Chelsea Marie Shine, DO is a family medicine in Wichita Falls, TX with 4 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Chelsea Marie Shine, DO NPI is 1124607080. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduation Year:2021

The provider's business location address is:

501 MIDWESTERN PKWY E
WICHITA FALLS, TX
ZIP 76302-302
Phone: (940) 716-5750
Fax: (940) 716-5772

The NPI 1124607080 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/6/2021 and was last updated on 10/2/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineV0165TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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