Shelise Ott Henderson, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

82109 Issued in WV

Practice address

75 Caspian Way
Shenandoah Junction, WV 25442-4804

Phone

(304) 885-5020

NPI assigned

Oct 2, 2026

Last updated

Oct 2, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shelise Ott Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1275447427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CASPIAN WAY",
            "city": "SHENANDOAH JUNCTION",
            "state": "WV",
            "postal_code": "254424804",
            "telephone_number": "304-885-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CASPIAN WAY",
            "city": "SHENANDOAH JUNCTION",
            "state": "WV",
            "postal_code": "254424804",
            "telephone_number": "304-885-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTT HENDERSON",
        "first_name": "SHELISE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-02",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WV",
            "license": "82109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELISE",
            "last_name": "OTT",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Tiara Rose Moore, OTR/L
• Molly Glyn Reed
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• Maria Schau
• Tricia Anne Shumate, MS SPEECH LANGUAGE P
• Amanda Dawn Sites

• School Registered Nurse in Shenandoah Junction, WV
• Providers in Shenandoah Junction, WV by specialty
• School Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.