Individual provider Active NPI

Shelley Lynne Carley, RD

  • Registered Dietitian
  • St Thomas, VI
National Provider Identifier
1639228372
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
498198 Issued in NU
Practice address
9048 Sugar Estate
St. Thomas, VI 00802-4001
Phone
(340) 776-8311
Fax
(340) 714-6312
NPI assigned
Jan 10, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 498198 NU Primary

Addresses

Primary practice location

9048 Sugar Estate
St. Thomas, VI 00802-4001

Mailing address

9048 Sugar Estate
Nutrition Services
St. Thomas, VI 00802-4001
Phone (340) 776-8311

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

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639228372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9048 SUGAR ESTATE",
            "address_2": "NUTRITION SERVICES",
            "city": "ST. THOMAS",
            "state": "VI",
            "postal_code": "008024001",
            "telephone_number": "340-776-8311",
            "fax_number": "340-714-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9048 SUGAR ESTATE",
            "city": "ST. THOMAS",
            "state": "VI",
            "postal_code": "008024001",
            "telephone_number": "340-776-8311",
            "fax_number": "340-714-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLEY",
        "first_name": "SHELLEY",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": "498198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Thomas, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.