Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amy Shackelford

Individual provider Health Educator · NPI 1649609165

Amy Shackelford is a Health Educator in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2013.

Licensed in
WI
In the registry since
2013
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Practice location Address checks out

1703 60th St
Kenosha, WI 53140-3986
Phone: (262) 658-4125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Educator (primary) Taxonomy 174H00000X · Licence 1570-19 (WI)

Record details

NPI number1649609165
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 5, 2013
Last updated in NPPESNovember 5, 2013