Individual provider Active NPI

Sherline Themelus

  • Registered Nurse
  • Norwalk, CT
National Provider Identifier
1427454669
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
170247 Issued in CT
Practice address
93 New Canaan Ave
Norwalk, CT 06850-2632
Phone
(203) 826-0721
NPI assigned
Nov 17, 2014
Last updated
Jun 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 786970 NY
Registered Nurse 163W00000X 170247 CT Primary
Licensed Practical Nurse 164W00000X 317932 NY

Addresses

Primary practice location

93 New Canaan Ave
Norwalk, CT 06850-2632

Mailing address

93 New Canaan Ave
Norwalk, CT 06850-2632

Other identifiers 2

IdentifierTypeStateIssuer
1427454669MedicaidNY
1427454669MedicaidCT

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

State licenses

LicenseStateTypeSpecialty
170247CTMDRegistered Nurse
786970NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
R&S LLC Transportation Services CurrentSince Jul 2, 2023 Accepting new patients
R&S LLC Current Accepting new patients
R&S CurrentSince Feb 1, 2022 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1427454669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 NEW CANAAN AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068502632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 NEW CANAAN AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068502632",
            "telephone_number": "203-826-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEMELUS",
        "first_name": "SHERLINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-17",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "786970",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "170247",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "317932",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427454669",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427454669",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.