Individual provider Active NPI

Shanelle Imani Jilus

  • Registered Nurse
  • Durham, NC
National Provider Identifier
1477432011
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
365143 Issued in NC
Practice address
2206 Dallas Sreet
Durham, NC 27707
Phone
(888) 944-6264
NPI assigned
Aug 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 365143 NC Primary

Addresses

Primary practice location

2206 Dallas Sreet
Durham, NC 27707

Mailing address

4801 Glenwood Ave Ste 200
Raleigh, NC 27612-3857
Phone (888) 944-2149

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
365143NCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Imani & Co. Living LLC CurrentSince Sep 3, 2025 Accepting new patients

Locations

4801 Glenwood Ave
Ste 200
Raleigh, NC 27612
Phone (757) 866-2715

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1477432011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 GLENWOOD AVE STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123857",
            "telephone_number": "888-944-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 DALLAS SREET",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27707",
            "telephone_number": "888-944-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JILUS",
        "first_name": "SHANELLE",
        "middle_name": "IMANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "365143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.