Active NPI
Maryilene Shelly, CRNP
- Maternal Newborn Registered Nurse
- Lancaster, PA
National Provider Identifier
1639166408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal Newborn Registered Nurse
- License
- SP008055
- Practice address
- May-Grant Associates
694 Good Dr.
Lancaster, PA 17601 - Phone
- (717) 397-8177
- NPI assigned
- Oct 5, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal Newborn Registered Nurse | 163WM0102X | SP008055 | PA | Primary |
Addresses
Primary practice location
May-Grant Associates
694 Good Dr.
Lancaster, PA 17601
Mailing address
251 Memorial Rd
Lititz, PA 17543-9426
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291680000000",
"number": "1639166408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 MEMORIAL RD",
"city": "LITITZ",
"state": "PA",
"postal_code": "175439426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MAY-GRANT ASSOCIATES",
"address_2": "694 GOOD DR.",
"city": "LANCASTER",
"state": "PA",
"postal_code": "17601",
"telephone_number": "717-397-8177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELLY",
"first_name": "MARYILENE",
"name_prefix": "Ms.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-05",
"last_updated": "2010-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0102X",
"taxonomy_group": "",
"desc": "Registered Nurse, Maternal Newborn",
"state": "PA",
"license": "SP008055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.