Individual provider Active NPI

Shelby Bartlett, RN

  • Registered Nurse
  • Bellevue, NE
National Provider Identifier
1275034878
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
54659 Issued in NE
Practice address
12501 S 25TH St
Bellevue, NE 68123-5526
Phone
(402) 293-4713
NPI assigned
Feb 28, 2018
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 54659 NE Primary

Addresses

Primary practice location

12501 S 25TH St
Bellevue, NE 68123-5526

Mailing address

12501 S 25TH St
Bellevue, NE 68123-5526
Phone (402) 293-4713

Other practice location 1

13502 S 38th St
Bellevue, NE 68123-6220
Phone (402) 898-8769

Other practice location 2

12001 Timberridge Dr
Bellevue, NE 68133-4709
Phone (402) 827-1845

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

LicenseStateTypeSpecialty
54659NEMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1275034878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 S 25TH ST",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681235526",
            "telephone_number": "402-293-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 S 25TH ST",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681235526",
            "telephone_number": "402-293-4713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13502 S 38th St",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "NE",
            "postal_code": "681236220",
            "country_code": "US",
            "telephone_number": "402-898-8769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12001 Timberridge Dr",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "NE",
            "postal_code": "681334709",
            "country_code": "US",
            "telephone_number": "402-827-1845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTLETT",
        "first_name": "SHELBY",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "54659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

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.

Verify at the official NPI Registry.