Shellon O Roberts, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

304210 Issued in NY

Practice address

346 E 23Rd St
Brooklyn, NY 11226-7009

Phone

(347) 461-9654

NPI assigned

Apr 26, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303776000000",
    "number": "1366733271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 E 23RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112267009",
            "telephone_number": "347-461-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 E 23RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112267009",
            "telephone_number": "347-461-9654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SHELLON",
        "middle_name": "O",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-26",
        "last_updated": "2011-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "304210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noreen O. Roberts
• Paige E Roberts
• Robin Carolyn Roberts, BSN
• Shani Roberts, NURSE PRACTITIONER-B
• Shawn Roberts, PHARMD
• Sherry-Ann Roberts, MSW
• Tajma Roberts
• Victoria Ashley Roberts
• Yolanda Roberts
• Patricia Robertsen

• Licensed Practical Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.