Active NPI
Aliyah McKellar, LVN
- Home Health Registered Nurse
- Simi Valley, CA
National Provider Identifier
1487249371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- VN707376
- Practice address
- 2734 Golf Meadows CT # Ca
Simi Valley, CA 93063-2472 - Phone
- (855) 922-7273
- NPI assigned
- Mar 3, 2021
- Last updated
- Mar 3, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | VN707376 | CA | Primary |
Addresses
Primary practice location
2734 Golf Meadows CT # Ca
Simi Valley, CA 93063-2472
Mailing address
2734 Golf Meadows CT # Ca
Simi Valley, CA 93063-2472
Phone (885) 922-7323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VN707376 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.shnc.care | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| VN707376 | CA | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sepulveda Home Nursing Care Corp. | Current | Accepting new patients |
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.
-
- Nursing Care Agency
- Simi Valley, CA
- NPI 1063025633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614729600000",
"number": "1487249371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2734 GOLF MEADOWS CT # CA",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930632472",
"telephone_number": "885-922-7323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2734 GOLF MEADOWS CT # CA",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930632472",
"telephone_number": "855-922-7273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKELLAR",
"first_name": "ALIYAH",
"credential": "LVN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-03",
"last_updated": "2021-03-03",
"certification_date": "2021-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "CA",
"license": "VN707376",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "VN707376",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.shnc.care",
"affiliation": "N",
"endpointDescription": "shnc.care@domainsbyproxy.com",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2734 Golf Meadows Ct # Ca",
"city": "Simi Valley",
"state": "CA",
"country_code": "US",
"postal_code": "930632472",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.