Individual provider Active NPI

Christa Shelman

  • School Registered Nurse
  • Wilmington, DE
National Provider Identifier
1306438577
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
L1-0032485 Issued in DE
Practice address
2101 Centerville Rd
Wilmington, DE 19808-4720
Phone
(302) 992-5558
NPI assigned
Feb 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X L1-0032485 DE Primary

Addresses

Primary practice location

2101 Centerville Rd
Wilmington, DE 19808-4720

Mailing address

2101 Centerville Rd
Wilmington, DE 19808-4720

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL Wilmington
Other URL Wilmington
Other URL Wilmington

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

State licenses

LicenseStateTypeSpecialty
L1-0032485DEMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1306438577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 CENTERVILLE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 CENTERVILLE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084720",
            "telephone_number": "302-992-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELMAN",
        "first_name": "CHRISTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "DE",
            "license": "L1-0032485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Wilmington",
            "affiliation": "N",
            "address_1": "2101 Centerville Rd",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198084720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Wilmington",
            "affiliation": "N",
            "address_1": "2101 Centerville Rd",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198084720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Wilmington",
            "affiliation": "N",
            "address_1": "2101 Centerville Rd",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198084720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.