Michelle Lynn Bellomy

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN095995 Issued in OH

Practice address

3826 Shelby Ganges Rd
Shelby, OH 44875-9138

Phone

(419) 834-5637

NPI assigned

Dec 20, 2017

Last updated

Dec 20, 2017By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1609382126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3826 SHELBY GANGES RD",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448759138",
            "telephone_number": "419-834-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3826 SHELBY GANGES RD",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448759138",
            "telephone_number": "419-834-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLOMY",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-20",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN095995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PN095995",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Ball
• Jeraca Barnett, MSW
• Johnnie Cornelius Beard
• Collin Beeson, PHARMD
• Joseph Bellmer
• Devyn Michael Benson
• Abhinav Bhatnagar
• Katelynn Biggs
• Brooke Dianne Bigley
• Kathleen Marie Bigley

• Licensed Practical Nurse in Shelby, OH
• Providers in Shelby, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.