Active NPI
Julia Ann Shelby, NP
- Nurse Practitioner
- Jackson, CA
National Provider Identifier
1700118387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 283688
- Practice address
- 1500 S Highway 49
Ste 105
Jackson, CA 95642-2652 - Phone
- (209) 223-5500
- Fax
- (209) 223-4964
- NPI assigned
- Feb 5, 2010
- Last updated
- Feb 5, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 283688 | CA | Primary |
Addresses
Primary practice location
1500 S Highway 49
Ste 105
Jackson, CA 95642-2652
Mailing address
8734 E Murray Creek Rd
Mountain Ranch, CA 95246-9673
Phone (209) 754-4783
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 283688 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanford Health Care | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Stanford Medical Center A Trade Name for Stanford Health Care
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265328000000",
"number": "1700118387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8734 E MURRAY CREEK RD",
"city": "MOUNTAIN RANCH",
"state": "CA",
"postal_code": "952469673",
"telephone_number": "209-754-4783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 S HIGHWAY 49",
"address_2": "STE 105",
"city": "JACKSON",
"state": "CA",
"postal_code": "956422652",
"telephone_number": "209-223-5500",
"fax_number": "209-223-4964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELBY",
"first_name": "JULIA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-05",
"last_updated": "2010-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "283688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.