Active NPI
Kerri Schellenberg
- Student in an Organized Health Care Education/Training Program
- Durham, NC
National Provider Identifier
1003071820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 148946
- Practice address
- Emg Laboratory, Duke Clinic South
Trent Drive
Durham, NC 27706 - Phone
- (919) 684-5422
- NPI assigned
- Jul 21, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 148946 | NC | Primary |
Addresses
Primary practice location
Emg Laboratory, Duke Clinic South
Trent Drive
Durham, NC 27706
Mailing address
2616 Erwin Rd
#1301
Durham, NC 27705-3843
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 148946 | NC | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216598400000",
"number": "1003071820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2616 ERWIN RD",
"address_2": "#1301",
"city": "DURHAM",
"state": "NC",
"postal_code": "277053843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EMG LABORATORY, DUKE CLINIC SOUTH",
"address_2": "TRENT DRIVE",
"city": "DURHAM",
"state": "NC",
"postal_code": "27706",
"telephone_number": "919-684-5422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHELLENBERG",
"first_name": "KERRI",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-21",
"last_updated": "2008-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "148946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.