Active NPI
Lorene Ann Shelby, RNP
- Family Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1053525766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 16951
- Practice address
- 1748 E 118TH St
Los Angeles, CA 90059-2518 - Phone
- (323) 568-3305
- NPI assigned
- May 10, 2007
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 16951 | CA | Primary |
Addresses
Primary practice location
1748 E 118TH St
Los Angeles, CA 90059-2518
Mailing address
1748 E. 118 St.
Los Angeles, CA 90059
Phone (323) 568-3305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 523806 | Other | CA | RN |
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 |
|---|---|---|---|
| 16951 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354147200000",
"number": "1053525766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1748 E. 118 ST.",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90059",
"telephone_number": "323-568-3305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1748 E 118TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900592518",
"telephone_number": "323-568-3305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELBY",
"first_name": "LORENE",
"middle_name": "ANN",
"credential": "RNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2012-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "16951",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "523806",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.