Sheley Butler Eldridge, RN NPC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

800135 Issued in NC

Practice address

307 W Cornelius Harnett Blvd
Lillington, NC 27546-9335

Phone

(910) 814-6296

Fax

(910) 814-4065

NPI assigned

Oct 30, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Interoperability endpoints

• Direct secure messaging: sheley.eldridge@direct.harnett.nchie.net

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

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1114003449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 FESTUS RD",
            "city": "COATS",
            "state": "NC",
            "postal_code": "275219598",
            "telephone_number": "910-797-7613",
            "fax_number": "910-814-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 W CORNELIUS HARNETT BLVD",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275469335",
            "telephone_number": "910-814-6296",
            "fax_number": "910-814-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDRIDGE",
        "first_name": "SHELEY",
        "middle_name": "BUTLER",
        "credential": "RN NPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-30",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "800135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000136",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "800135",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Carolina University
• Easter Seals Ucp North Carolina & Virginia, Inc.
• Karley Eaton
• Ebony Brown
• Edgewater Medical Center and Urgent
• Emerald Health and Rehab Center
• Harriet Leigh Enzor, LCMHC-S
• Chandra Mison Evans, PHARMD
• Ashley Nicole Everette, PHARMD
• Excel Tutoring and Personal Development

• All providers in Lillington, NC
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.