Shelley Arlene Carlisle, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

121025 IV Issued in OH

Practice address

524 E Perry St
Salem, OH 44460-3730

Phone

(330) 277-1424

Fax

(330) 337-7315

NPI assigned

Jun 30, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Shelley Arlene Reichle Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246320000000",
    "number": "1184852097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 E PERRY ST",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444603730",
            "telephone_number": "330-277-1424",
            "fax_number": "330-337-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 E PERRY ST",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444603730",
            "telephone_number": "330-277-1424",
            "fax_number": "330-337-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLISLE",
        "first_name": "SHELLEY",
        "middle_name": "ARLENE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "121025  IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "REICHLE",
            "middle_name": "ARLENE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Megan Lee Cala
• Brandon A Cappelli
• Care First LLC
• Care4Me Skilled, LLC
• Julie Carlisle, STNA
• Carrie Lee Caruso, M.D.
• Frank Michael Castro, MD
• Jennifer Castronova, SP
• Gloria B. Cecil, OT
• Melissa Sue Chadbourne, MS, OTR/L

• All providers in Salem, OH
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.