Shella Ange Virgile

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

TGPN030600 Issued in PA

Practice address

5500 Tabor Ave
Philadelphia, PA 19120-2124

Phone

(215) 245-2131

NPI assigned

Nov 15, 2019

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1376188185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8925 FAIRFIELD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191521332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 TABOR AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202124",
            "telephone_number": "215-245-2131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8925 Fairfield St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191521332",
            "country_code": "US",
            "telephone_number": "347-608-4652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIRGILE",
        "first_name": "SHELLA",
        "middle_name": "ANGE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "TGPN030600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vip Healthcare Group
• Vip Medical Supply LLC
• Vip Transport of Philadelphia
• Liji Vipin
• Diana Rebecca Virella-Saenz, M.D.
• Shailee Viroja, D.O
• Joseph Arthur Virone
• Michelle Virone, RD
• Virtual Home Care LLC
• Virtual Hope Behavioral Health Services LLC

• Licensed Practical Nurse in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.