Active NPI
Shelby Burlew, RN
- School Registered Nurse
- Mesa, AZ
National Provider Identifier
1114427747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- RN174239
- Practice address
- 825 W Medina Ave
Mesa, AZ 85210-7144 - Phone
- (480) 472-4047
- NPI assigned
- Feb 20, 2018
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN174239 | AZ | Primary |
Addresses
Primary practice location
825 W Medina Ave
Mesa, AZ 85210-7144
Mailing address
2366 N Malachite
Mesa, AZ 85207-2525
Other practice location 1
1507 W Shawnee Dr
Chandler, AZ 85224-2259
Phone (480) 472-3777
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN174239 | AZ | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1114427747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2366 N MALACHITE",
"city": "MESA",
"state": "AZ",
"postal_code": "852072525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 W MEDINA AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852107144",
"telephone_number": "480-472-4047"
}
],
"practiceLocations": [
{
"address_1": "1507 W Shawnee Dr",
"address_purpose": "LOCATION",
"city": "Chandler",
"state": "AZ",
"postal_code": "852242259",
"country_code": "US",
"telephone_number": "480-472-3777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURLEW",
"first_name": "SHELBY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-20",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "AZ",
"license": "RN174239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.