Nicole Elaine Shiley, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA054429 Issued in PA

Practice address

6301 Grayson Rd
Suite 9
Harrisburg, PA 17111-3331

Phone

(717) 920-5910

Fax

(717) 920-5916

NPI assigned

Dec 7, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345420800000",
    "number": "1003119447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 GRAYSON RD",
            "address_2": "SUITE 9",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171113331",
            "telephone_number": "717-920-5910",
            "fax_number": "717-920-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 GRAYSON RD",
            "address_2": "SUITE 9",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171113331",
            "telephone_number": "717-920-5910",
            "fax_number": "717-920-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHILEY",
        "first_name": "NICOLE",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-07",
        "last_updated": "2012-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA054429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aakash Rajendra Sheth, MD
• Madelina Sheva
• Arnold T Shienvold, PHD
• Kasey Evan Shienvold, PSYD
• Nicole Elizabeth Shifflett, PA-C
• Adam T Shipton, MS, RD, LDN, CNSC
• Jonathan Shirey, M.D.
• Daisy Shirk, D.O.
• Eric L Shirley, D.M.D.
• Tracey Marie Shivok-Jefferson, NP-C

• Medical Physician Assistant in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.