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

Shelly Mae Lummus

Individual provider Community Health Worker · NPI 1619707676

Shelly Mae Lummus is a Community Health Worker in Emmett, Idaho. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024

Practice location Address checks out

207 E 12th St
Emmett, ID 83617-3626
Phone: (208) 365-1065
Fax: (208) 365-1065
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence THW000111135 (OR)

Record details

NPI number1619707676
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 5, 2024
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024
Mailing address207 E 12th St, Emmett, ID 83617-3626