Shelby Lynn Earls

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

94515 Issued in WV

Practice address

Senior Life Services of Morgan County
106 Sand Mine Rd Suite 1
Berkeley Springs, WV 25411-2541

Phone

(304) 258-3096

Fax

(304) 258-3190

NPI assigned

Mar 5, 2021

Last updated

Mar 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1033704648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 SAND MINE RD STE 1",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254117457",
            "telephone_number": "304-258-3096",
            "fax_number": "304-258-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SENIOR LIFE SERVICES OF MORGAN COUNTY",
            "address_2": "106 SAND MINE RD SUITE 1",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254112541",
            "telephone_number": "304-258-3096",
            "fax_number": "304-258-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARLS",
        "first_name": "SHELBY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "94515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Berkeley Springs, WV
• Providers in Berkeley Springs, WV by specialty
• Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.