Active NPI
Shanelle Imani Jilus
- Registered Nurse
- Durham, NC
National Provider Identifier
1477432011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 365143
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 365143 | NC | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imani & Co. Living LLC | Current | 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.
-
- Adult Care Home Facility
- Durham, NC
- NPI 1255218491
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.