Sylvia Maria Shamblin, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041.257480 Issued in IL

Practice address

1417 Prairie Ave.
Beloit, WI 53511-3852

Phone

(779) 771-0275

NPI assigned

Feb 17, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1366764375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 PRAIRIE AVE",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535113852",
            "telephone_number": "779-771-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 PRAIRIE AVE.",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535113852",
            "telephone_number": "779-771-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMBLIN",
        "first_name": "SYLVIA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.257480",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "112065-030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean M Seelander, DMD
• Paul M Segal, MD
• Curtis Seiler, PA-C
• Daniel C. Sellman, M.D.
• Meshelle Lyniece Settles, RN
• Omer Sharif, M.D.
• Shayla D. Crays Smith, Aud, LTD
• Donna M. Sholts, LPN
• Shopko Stores Operating Co LLC
• Shopko Stores Operating Co. LLC

• Registered Nurse in Beloit, WI
• Providers in Beloit, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.