Active NPI
Tiffany Shelton
- Emergency Registered Nurse
- Midlothian, IL
National Provider Identifier
1689467615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Registered Nurse
- License
- 041563450
- Practice address
- 14708 Kenton Ave
Midlothian, IL 60445-3222 - Phone
- (708) 631-6985
- NPI assigned
- May 23, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 041563450 | IL | Primary |
Addresses
Primary practice location
14708 Kenton Ave
Midlothian, IL 60445-3222
Mailing address
14708 Kenton Ave
Midlothian, IL 60445-3222
Phone (708) 631-6985
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2011639293 | Other | IL | FOID CARD |
| ORX134 | Other | IL | BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Tiffany.Shelton@sinai.org | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041563450 | IL | MD | Emergency Registered Nurse |
Interoperability endpoints
- tiffany.shelton@sinai.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747958400000",
"number": "1689467615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14708 KENTON AVE",
"city": "MIDLOTHIAN",
"state": "IL",
"postal_code": "604453222",
"telephone_number": "708-631-6985",
"fax_number": "708-631-6985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14708 KENTON AVE",
"city": "MIDLOTHIAN",
"state": "IL",
"postal_code": "604453222",
"telephone_number": "708-631-6985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON",
"first_name": "TIFFANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-23",
"last_updated": "2025-05-23",
"certification_date": "2025-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "IL",
"license": "041563450",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FOID CARD",
"identifier": "2011639293",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "ORX134",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Tiffany.Shelton@sinai.org",
"affiliation": "N",
"endpointDescription": "Sinai Health system",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "PHI",
"address_1": "2701 W 68th St",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606291813",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Midlothian, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.