Active NPI
Shanelle Marie Valentine, PA-C
- Physician Assistant
- Hernando, MS
National Provider Identifier
1427998293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 6857
- Practice address
- PO Box 5
Hernando, MS 38632-0005 - Phone
- (360) 813-2885
- NPI assigned
- Mar 31, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 6857 | TN | Primary |
Addresses
Primary practice location
PO Box 5
Hernando, MS 38632-0005
Mailing address
PO Box 5
Hernando, MS 38632-0005
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6857 | TN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774915200000",
"number": "1427998293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5",
"city": "HERNANDO",
"state": "MS",
"postal_code": "386320005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 5",
"city": "HERNANDO",
"state": "MS",
"postal_code": "386320005",
"telephone_number": "360-813-2885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTINE",
"first_name": "SHANELLE",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-31",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "6857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hernando, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.