Individual provider Active NPI

Sheila Elizabeth Ann Stillie, AG ACNP

  • Acute Care Nurse Practitioner
  • Palm Springs, CA
National Provider Identifier
1619676707
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95023663 Issued in CA
Practice address
547 N Farrell Dr
Palm Springs, CA 92262-6214
Phone
(310) 403-9637
NPI assigned
Feb 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95023663 CA Primary

Addresses

Primary practice location

547 N Farrell Dr
Palm Springs, CA 92262-6214

Mailing address

547 N Farrell Dr
Palm Springs, CA 92262-6214
Phone (310) 403-9637

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
95023663CAMDAcute Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1619676707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 N FARRELL DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626214",
            "telephone_number": "310-403-9637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 N FARRELL DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626214",
            "telephone_number": "310-403-9637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLIE",
        "first_name": "SHEILA",
        "middle_name": "ELIZABETH ANN",
        "credential": "AG ACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95023663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.