| Kelly Shuttera, | |
| 100 N Main St, Chattahoochee, FL 32324-1107 | |
| (850) 663-7001 | |
| Not Available | 
| Full Name | Kelly Shuttera | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 100 N Main St, Chattahoochee, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1356088264 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 110119463 (Florida) | Primary | 
| Entity Name | Florida Department Of Children And Families | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1710945118 PECOS PAC ID: 5092613570 Enrollment ID: O20031222000351 | 
| Entity Name | Catalyst Counseling Associates Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1962049387 PECOS PAC ID: 8628437001 Enrollment ID: O20230703000772 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kelly Shuttera, 1724 Gurtler Ct Apt 2, Orlando, FL 32804-6428 Ph: (310) 499-8697 | Kelly Shuttera, 100 N Main St, Chattahoochee, FL 32324-1107 Ph: (850) 663-7001 | 
| Mr. Michael Jon Peel, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Main St, Florida State Hospital, Chattahoochee, FL 32324 Phone: 850-663-7832 Fax: 850-663-7240 | |
| Mr. Brian C Ham, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 409 High St, Chattahoochee, FL 32324 Phone: 850-663-4643 Fax: 850-663-2350 | |
| Mrs. Stephanie Mckinnie Beauchamp, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 N Main St, Chattahoochee, FL 32324 Phone: 850-663-7501 Fax: 850-669-7588 | |
| Marites Orogo Nalupa, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Main St, Chattahoochee, FL 32324 Phone: 850-663-7001 | |
| Stacy A Martin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 N Main St, Chattahoochee, FL 32324 Phone: 850-793-6863 | |
| Mrs. Lauren Genna Wood, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 N Main St, Chattahoochee, FL 32324 Phone: 850-663-7001 | |
| Jordan Deanna Johnson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 N Main St, Chattahoochee, FL 32324 Phone: 850-663-1065 |