Individual provider Active NPI

Cassie Shelton, RN, ESTHETICIAN

  • Registered Nurse
  • Port St Lucie, FL
National Provider Identifier
1619889417
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9328760 Issued in FL
Practice address
10380 SW Village Center Dr Ste 276
Port St Lucie, FL 34987-1931
Phone
(305) 792-8927
Fax
(305) 792-7264
NPI assigned
Sep 18, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN9328760 FL
Infusion Therapy Registered Nurse 163WI0500X RN9328760 FL
Lactation Consultant (Registered Nurse) 163WL0100X RN9328760 FL
Registered Nurse 163W00000X RN9328760 FL Primary

Addresses

Primary practice location

10380 SW Village Center Dr Ste 276
Port St Lucie, FL 34987-1931

Mailing address

10380 SW Village Center Dr Ste 276
Port St Lucie, FL 34987-1931
Phone (305) 792-8927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1619889417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10380 SW VILLAGE CENTER DR STE 276",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349871931",
            "telephone_number": "305-792-8927",
            "fax_number": "305-792-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10380 SW VILLAGE CENTER DR STE 276",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349871931",
            "telephone_number": "305-792-8927",
            "fax_number": "305-792-7264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "CASSIE",
        "credential": "RN, ESTHETICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "RN9328760",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "FL",
            "license": "RN9328760",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "FL",
            "license": "RN9328760",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9328760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.