Individual provider Active NPI

Shelby Hughes, CNM

  • Advanced Practice Midwife
  • Port Saint Lucie, FL
National Provider Identifier
1639448293
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
11582 SW Village Pkwy Ste 1204
Port Saint Lucie, FL 34987-2392
Phone
(772) 800-6745
NPI assigned
Dec 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9405553 FL
Advanced Practice Midwife 367A00000X Primary

Addresses

Primary practice location

11582 SW Village Pkwy Ste 1204
Port Saint Lucie, FL 34987-2392

Mailing address

330 E 38TH St Apt 15C
New York, NY 10016-2769

Other identifiers 3

IdentifierTypeStateIssuer
CNM0561OtherAMCB
ARNP9405553OtherFLARNP
2024043134OtherANCC-PMHNP-BC

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
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
APRN9405553FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hughes Holistic Health LLC CurrentSince Jun 1, 2023 Accepting new patients
New Jersey Birdie Health PC CurrentSince Jun 23, 2024 Accepting new patients
New York Birdie Health PC Past Accepting new patients
California Birdie Health, P.C. Past Accepting new patients

Locations

11582 SW Village Pkwy
Port St Lucie, FL 34987
Phone (772) 302-7886

7901 4th St N
Ste 300
St Petersburg, FL 33702
Phone (305) 204-3616

2501 Chatham Rd
Springfield, IL 62704
Phone (312) 625-0078

77 Sands St
Fl 6
Brooklyn, NY 11201
Phone (201) 687-9627

1601 Elm St
Ste 4360
Dallas, TX 75201
Phone (904) 610-3393

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1639448293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E 38TH ST APT 15C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11582 SW VILLAGE PKWY STE 1204",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349872392",
            "telephone_number": "772-800-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "SHELBY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-27",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9405553",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMCB",
            "identifier": "CNM0561",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP",
            "identifier": "ARNP9405553",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC-PMHNP-BC",
            "identifier": "2024043134",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.