Active NPI
Megan Montgomery Shelton, PNP
- Pediatric Nurse Practitioner
- Winston Salem, NC
National Provider Identifier
1396337580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 202119632
- Practice address
- 3333 Brookview Hills Blvd Ste 201
Winston Salem, NC 27103-5661 - Phone
- (336) 713-8660
- NPI assigned
- Feb 9, 2021
- Last updated
- Oct 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 5014130 | NC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Nurse Practitioner | 363LP0200X | 202119632 | NC | Primary |
Addresses
Primary practice location
3333 Brookview Hills Blvd Ste 201
Winston Salem, NC 27103-5661
Mailing address
3333 Brookview Hills Blvd Ste 201
Winston Salem, NC 27103-5661
Phone (336) 713-8660
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5014130 | NC | MD | Pediatrics Physician |
| 202119632 | NC | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Past | Accepting new patients |
Interoperability endpoints
- mshelton2802170@carolinashealthcaresystem.direct-ci.com
- mshelton876295@direct.novanthealth.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
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": "1634428800000",
"number": "1396337580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 BROOKVIEW HILLS BLVD STE 201",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271035661",
"telephone_number": "336-713-8660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 BROOKVIEW HILLS BLVD STE 201",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271035661",
"telephone_number": "336-713-8660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON",
"first_name": "MEGAN",
"middle_name": "MONTGOMERY",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-09",
"last_updated": "2021-10-17",
"certification_date": "2021-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "5014130",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NC",
"license": "202119632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.