Individual provider Active NPI

Regina Marie Shelter, RN BSN

  • Registered Nurse
  • Uniontown, PA
National Provider Identifier
1255514659
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN524730L Issued in PA
Practice address
119 N Beeson Blvd
Fayette County Community Action Agency NFP
Uniontown, PA 15401-2975
Phone
(724) 437-6050
Fax
(724) 457-4418
NPI assigned
Dec 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN524730L PA Primary

Addresses

Primary practice location

119 N Beeson Blvd
Fayette County Community Action Agency NFP
Uniontown, PA 15401-2975

Mailing address

119 N Beeson Blvd
Fayette County Community Action Agency NFP
Uniontown, PA 15401-2975
Phone (724) 437-6050

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN524730LPAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1255514659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 N BEESON BLVD",
            "address_2": "FAYETTE COUNTY COMMUNITY ACTION AGENCY NFP",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154012975",
            "telephone_number": "724-437-6050",
            "fax_number": "724-457-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N BEESON BLVD",
            "address_2": "FAYETTE COUNTY COMMUNITY ACTION AGENCY NFP",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154012975",
            "telephone_number": "724-437-6050",
            "fax_number": "724-457-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTER",
        "first_name": "REGINA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "RN BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN524730L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.