Shylebra Lea Charles, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3011961 Issued in KY

Practice address

124 Division St Ste 2
Pikeville, KY 41501-1116

Phone

(606) 422-3397

NPI assigned

Feb 12, 2018

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

Other names 1

• Shylebra Lea Collins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1710486162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 WALNUT ST",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011605",
            "telephone_number": "606-422-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 DIVISION ST STE 2",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011116",
            "telephone_number": "606-422-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "SHYLEBRA",
        "middle_name": "LEA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHYLEBRA",
            "last_name": "COLLINS",
            "middle_name": "LEA",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Pernella Rae Chapman, RBT
• Rhonda Melissa Charles
• Victoria Grace Charlton
• Rizvon Chaudhary, MD
• Katlin P Cheek
• Justin Chelette, OD
• Jim Yun-Fei Chen, MD

• All providers in Pikeville, KY
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.