Individual provider Active NPI

Shirley Lena Fenelus

  • Family Nurse Practitioner
  • Lake Worth, FL
National Provider Identifier
1699335117
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9357089 Issued in FL
Practice address
3898 Via Poinciana
Lake Worth, FL 33467-2951
Phone
(305) 974-5533
NPI assigned
Jun 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9357089 FL Primary

Addresses

Primary practice location

3898 Via Poinciana
Lake Worth, FL 33467-2951

Mailing address

112 Pimlico Way
Royal Palm Beach, FL 33411-8271

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL shirleylena4@gmail.com

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

LicenseStateTypeSpecialty
APRN9357089FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ismat a Hossain, MD PA Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1699335117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 PIMLICO WAY",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3898 VIA POINCIANA",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672951",
            "telephone_number": "305-974-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENELUS",
        "first_name": "SHIRLEY",
        "middle_name": "LENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9357089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "shirleylena4@gmail.com",
            "affiliation": "N",
            "address_1": "112 Pimlico Way",
            "city": "Royal Palm Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334118271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.

Verify at the official NPI Registry.