Shelly Sharma Valliath, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R226136 Issued in MD

Practice address

6000 Executive Blvd Ste 101
Rockville, MD 20852-3816

Phone

(240) 599-1001

NPI assigned

Dec 10, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bright Horizons Psychiatry LLCGroup PAC ID 6608235213, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Bright Horizons Psychiatry LLC

  • Psychiatry Physician
  • Frederick, MD
  • NPI 1922709146

  DC

  Medicare reassignment Care Compare group NPD
• Bethesda Hospitalist Partners, LLC

  • Specialist
  • Bethesda, MD
  • NPI 1174919278

  DC

  Medicare reassignment NPD
• SSV Medical Group

  • Primary Care Clinic/Center
  • Clarksburg, MD
  • NPI 1104526458
  NPD Authorized official
• Bright Horizons Psychiatry LLC

  • Psychiatry Physician
  • Frederick, MD
  • NPI 1205754918
  NPD (past)

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1689211518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 EXECUTIVE BLVD STE 101",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523816",
            "telephone_number": "240-599-1001",
            "fax_number": "240-599-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 EXECUTIVE BLVD STE 101",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523816",
            "telephone_number": "240-599-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLIATH",
        "first_name": "SHELLY",
        "middle_name": "SHARMA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R226136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Valladares Carrillo
• Steyci Valladares
• Brian Valle
• Kendra Michelle Valle, RD, LDN
• Darlene Karen Louise Valletta, LAC
• Turia Van de Graaff
• Jon Van Den Valentyn, D.C.
• Walter Paul Van Den Valentyn, D.C.
• Oleg Van Goch
• Karen Elizabeth Van Orden, OTR

• Family Nurse Practitioner in Rockville, MD
• Providers in Rockville, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.