Individual provider Active NPI

Shelby Milburn, FNP-BC

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1629696901
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
832166 Issued in NV
Practice address
1955 Festival Plaza Dr Ste 180
Las Vegas, NV 89135-3064
Phone
(702) 778-6886
NPI assigned
Jul 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 832166 NV Primary

Addresses

Primary practice location

1955 Festival Plaza Dr Ste 180
Las Vegas, NV 89135-3064

Mailing address

7332 Banneker Park St
Las Vegas, NV 89166-6036
Phone (805) 260-5853

Other practice location 1

3131 Las Vegas Blvd S
Las Vegas, NV 89109-1967
Phone (702) 777-7000

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
832166NVMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1629696901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7332 BANNEKER PARK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891666036",
            "telephone_number": "805-260-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 FESTIVAL PLAZA DR STE 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891353064",
            "telephone_number": "702-778-6886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3131 Las Vegas Blvd S",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891091967",
            "country_code": "US",
            "telephone_number": "702-777-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILBURN",
        "first_name": "SHELBY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "832166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.