Lisa Raynelle Shelley, RD, LD, CDE, BC-ADM

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L005339 Issued in NC

Practice address

2460 Curtis Ellis Dr
Rocky Mount, NC 27804

Phone

(806) 212-0577

Fax

(806) 212-0563

NPI assigned

Sep 6, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Raynelle Shelley Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

86.47 of 100Reported as group

Quality

62.03

Promoting interoperability

99

Improvement activities

40

Cost

78.09

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• NHCS Physicians Inc

  • Cardiovascular Disease Physician
  • Rocky Mount, NC
  • NPI 1801252275
  NPD

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

{
    "created_epoch": "1220659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1659529378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847556",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752847556",
            "telephone_number": "806-212-0577",
            "fax_number": "806-212-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 CURTIS ELLIS DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "27804",
            "telephone_number": "806-212-0577",
            "fax_number": "806-212-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLEY",
        "first_name": "LISA",
        "middle_name": "RAYNELLE",
        "credential": "RD, LD, CDE, BC-ADM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-06",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT80908",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L005339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBDE",
            "identifier": "20120483",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN DIETETIC ASSOCIATION",
            "identifier": "942472",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ASSOCIATION OF DIABETIC EDUCATORS",
            "identifier": "200913419",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF EXAMINERS OF DIETITIANS",
            "identifier": "DT80908",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAYNELLE",
            "last_name": "SHELLEY",
            "credential": "RD, LD, CDE, BC-ADM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mehrzad Shariff, RPH
• Jarika Sharpe, MSW, LCSW
• Jacqueline Shaw, LPC
• Kenneth Lee Sheldon, ED.D.
• George Shell, LPC
• Willard N Shepherd, O.D.
• Brittney Sherriod, RBT
• Shiloh Child and Adolescent Day Treatment Services, LLC
• Gerrie Michelle Shiver, MD
• Asad Aftab Siddiqi

• Registered Dietitian in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.