Anna Sholl

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

SHOL-0S2FQ Issued in NC

Practice address

500 Gateway Dr
Clayton, NC 27520-2158

Phone

(919) 585-9001

NPI assigned

Oct 10, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: asholl191588@direct.medicine.duke.edu

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

{
    "created_epoch": "1633824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633824000000",
    "number": "1669134375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 SHADOW CREEK DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276045890",
            "telephone_number": "414-640-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GATEWAY DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202158",
            "telephone_number": "919-585-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOLL",
        "first_name": "ANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-10",
        "last_updated": "2021-10-10",
        "certification_date": "2021-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "SHOL-0S2FQ",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anna.sholl@duke.edu",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "500 Gateway Dr",
            "city": "Clayton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275202158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shivani Sheth, PA-C
• Rahul A Shimpi, MD
• Julia Shingleton, M.S., SLP
• Shining Star Adult Care
• Stephanie Shipwash, MAOM, DACM, L. AC
• Shraddha P. Kolappa DDS PA
• Jack M Sibrizzi, DPM
• Natalie Jo Siddoway, DMD
• Arthur Rex Simonsen, DDS
• Jordan Israel Sims, LCSWA

• Pediatric Nurse Practitioner in Clayton, NC
• Providers in Clayton, NC by specialty
• Pediatric Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2021; 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.