Individual provider Active NPI

Phyllis Shelton

  • Health Educator
  • Hawthorne, NY
National Provider Identifier
1184212854
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Practice address
7 Skyline Dr Ste 350
Hawthorne, NY 10532-2162
Phone
(203) 683-5946
NPI assigned
Jan 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X Primary

Addresses

Primary practice location

7 Skyline Dr Ste 350
Hawthorne, NY 10532-2162

Mailing address

1000 Lafayette Blvd Ste 1100
Bridgeport, CT 06604-4710
Phone (203) 683-5946

Other practice location 1

50 Sickles Ave
New Rochelle, NY 10801-4029
Phone (203) 683-5946

Other practice location 2

345 Main St
New Rochelle, NY 10801-6556
Phone (203) 683-5946

Other practice location 3

111 Lockwood Ave
New Rochelle, NY 10801-5009
Phone (203) 683-5946

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

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1184212854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LAFAYETTE BLVD STE 1100",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044710",
            "telephone_number": "203-683-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SKYLINE DR STE 350",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322162",
            "telephone_number": "203-683-5946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Sickles Ave",
            "address_purpose": "LOCATION",
            "city": "New Rochelle",
            "state": "NY",
            "postal_code": "108014029",
            "country_code": "US",
            "telephone_number": "203-683-5946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 Main St",
            "address_purpose": "LOCATION",
            "city": "New Rochelle",
            "state": "NY",
            "postal_code": "108016556",
            "country_code": "US",
            "telephone_number": "203-683-5946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Lockwood Ave",
            "address_purpose": "LOCATION",
            "city": "New Rochelle",
            "state": "NY",
            "postal_code": "108015009",
            "country_code": "US",
            "telephone_number": "203-683-5946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "PHYLLIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, NY

Sources for this page

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