Individual provider Active NPI

Tobi Shelton Schelin, A.R.N.P.

  • Primary Care Nurse Practitioner
  • Fort Pierce, FL
National Provider Identifier
1104092386
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
857742 Issued in FL
Practice address
1301 Bell Ave
Fort Pierce, FL 34982-6544
Phone
(772) 468-3940
NPI assigned
May 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 857742 FL Primary

Addresses

Primary practice location

1301 Bell Ave
Fort Pierce, FL 34982-6544

Mailing address

248 Bimini Dr
Fort Pierce, FL 34949-1530
Phone (772) 332-0120

Other identifiers 1

IdentifierTypeStateIssuer
857742OtherFLADVANCED PRACTICE REGISTERED NURSE LICENSE NUMBER 857742

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

LicenseStateTypeSpecialty
857742FLMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1104092386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 BIMINI DR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349491530",
            "telephone_number": "772-332-0120",
            "fax_number": "772-462-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BELL AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349826544",
            "telephone_number": "772-468-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHELIN",
        "first_name": "TOBI",
        "middle_name": "SHELTON",
        "credential": "A.R.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "857742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE REGISTERED NURSE LICENSE NUMBER 857742",
            "identifier": "857742",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.

Verify at the official NPI Registry.