Shelby Iman

Key facts

NPI

1285447128

Entity type

Individual (NPI type 1)

Primary specialty

Home Health Aide 374U00000X

Practice address

1535 Frosty Hollow Rd
Fisher, WV 26818-4126

Phone

(304) 703-4566

NPI assigned

Jan 27, 2025

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 27, 2025.

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1285447128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 FROSTY HOLLOW RD",
            "city": "FISHER",
            "state": "WV",
            "postal_code": "268184126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 FROSTY HOLLOW RD",
            "city": "FISHER",
            "state": "WV",
            "postal_code": "268184126",
            "telephone_number": "304-703-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMAN",
        "first_name": "SHELBY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fisher, WV

• Megan Davis
• Trina Dunsmore
• Brooke Hicks
• Tammy Lofton
• Brian Warren May
• Charity Lynn McLean
• Nicholas Aaron McLean
• Erline Philbrick

All providers in Fisher, WV · Home Health Aide in West Virginia