Shelly Ann Jemiolo

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

304106-01 Issued in NY

Practice address

500 Seneca St Ste 610
Buffalo, NY 14204-1963

Phone

(719) 881-2800

Fax

(866) 941-4302

NPI assigned

Jul 27, 2026

Last updated

Jul 27, 2026By the provider in NPPES

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

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

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1386566156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SENECA ST STE 610",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142041963",
            "telephone_number": "716-881-2800",
            "fax_number": "866-941-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SENECA ST STE 610",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142041963",
            "telephone_number": "719-881-2800",
            "fax_number": "866-941-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEMIOLO",
        "first_name": "SHELLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "304106-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tata Jefferson
• Jeffery Jerome Grace, MD, PC
• Dana Lynn Jeffrey, NP
• Katherine Jeffries-Coppola, RN
• Lori Lynn Jellinick, PT
• Arleen Jemison
• Dashawna Jenifer
• Joshua Benjamin Jenkins, M.S. PMHNP-BC
• Katherine Jenkins
• Samantha Jenkins, RPA

• Licensed Practical Nurse in Buffalo, NY
• Providers in Buffalo, 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 Jul 27, 2026; 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.