Individual provider Active NPI

Aliyah McKellar, LVN

  • Home Health Registered Nurse
  • Simi Valley, CA
National Provider Identifier
1487249371
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
VN707376 Issued in CA
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
VN707376MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
VN707376CAMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sepulveda Home Nursing Care Corp. CurrentSince Mar 7, 2021 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.

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.

Verify at the official NPI Registry.