Individual provider Active NPI

Shelly Lynn Hill, RN

  • Registered Nurse First Assistant
  • Fresno, CA
National Provider Identifier
1639660483
Registry record updated May 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
473396 Issued in CA
Practice address
7050 N Recreation Ave Ste 103
Fresno, CA 93720-8001
Phone
(559) 256-7700
Fax
(559) 256-7711
NPI assigned
May 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 473396 CA Primary

Addresses

Primary practice location

7050 N Recreation Ave Ste 103
Fresno, CA 93720-8001

Mailing address

2477 E Christopher Dr
Fresno, CA 93720-4435
Phone (559) 434-4063

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
473396CAMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1527379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527379200000",
    "number": "1639660483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2477 E CHRISTOPHER DR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937204435",
            "telephone_number": "559-434-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 N RECREATION AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208001",
            "telephone_number": "559-256-7700",
            "fax_number": "559-256-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "SHELLY",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-27",
        "last_updated": "2018-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "CA",
            "license": "473396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2018; 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.