Rebecca Rene Shelby, PHLEBOTOMIST

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Practice address

1995 S Schuyler Ave TRLR G11
Kankakee, IL 60901-6215

Phone

(312) 485-4199

NPI assigned

Feb 1, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Rene Shelby Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1568053668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 S SCHUYLER AVE TRLR G11",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609016215",
            "telephone_number": "312-485-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 S SCHUYLER AVE TRLR G11",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609016215",
            "telephone_number": "312-485-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELBY",
        "first_name": "REBECCA",
        "middle_name": "RENE",
        "name_prefix": "Miss",
        "credential": "PHLEBOTOMIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "SHELBY",
            "middle_name": "RENE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shapiro Developmental Center
• Shapiro Developmental Center
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• Shapiro Developmental Center
• Shuja Sheikh, MD
• Kortney Latrice Shoemaker
• Amy Lynn Shronts, MHS/CCC-SLP
• Firas Sibai, MD
• Anna Simms, L.AC.
• Simon Wu MD LTD

• Phlebotomy Technician in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Phlebotomy Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.