Individual provider Active NPI

Nukeysha Lafay Sillmon, REGISTERED NURSE

  • Home Health Registered Nurse
  • Talladega, AL
National Provider Identifier
1710679758
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
1-147471 Issued in AL
Practice address
304 Dabney St
Talladega, AL 35160-2925
Phone
(904) 402-3706
NPI assigned
May 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X 1-147471 AL
Ambulatory Care Registered Nurse 163WP2201X 1-147471 AL
Nutrition Support Registered Nurse 163WN1003X 1-147471 AL
Wound Care Registered Nurse 163WW0000X 1-147471 AL
Home Infusion Agency 251F00000X 1-147471 AL
Nursing Care Agency 251J00000X 1-147471 AL
In Home Supportive Care Agency 253Z00000X 1-147471 AL
Home Delivered Meals 332U00000X 1-147471 AL
Home Health Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WH0200X 1-147471 AL Primary
Continuing Education/Staff Development Registered Nurse 163WC1600X 1-147471 AL
Continence Care Registered Nurse 163WC2100X 1-147471 AL
Diabetes Educator Registered Nurse 163WD0400X 1-147471 AL
General Practice Registered Nurse 163WG0000X 1-147471 AL
Infection Control Registered Nurse 163WI0600X 1-147471 AL

Addresses

Primary practice location

304 Dabney St
Talladega, AL 35160-2925

Mailing address

304 Dabney St
Talladega, AL 35160-2925
Phone (904) 402-3706

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
1-147471ALMDDiabetes Educator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1710679758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 DABNEY ST",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602925",
            "telephone_number": "904-402-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 DABNEY ST",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602925",
            "telephone_number": "904-402-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILLMON",
        "first_name": "NUKEYSHA",
        "middle_name": "LAFAY",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "AL",
            "license": "1-147471",
            "primary": false
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "AL",
            "license": "1-147471",
            "primary": false
        },
        {
            "code": "163WN1003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "AL",
            "license": "1-147471",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "AL",
            "license": "1-147471",
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "AL",
            "license": "1-147471",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "AL",
            "license": "1-147471",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AL",
            "license": "1-147471",
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "AL",
            "license": "1-147471",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "AL",
            "license": "1-147471",
            "primary": true
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "AL",
            "license": "1-147471",
            "primary": false
        },
        {
            "code": "163WC2100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continence Care",
            "state": "AL",
            "license": "1-147471",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "AL",
            "license": "1-147471",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "AL",
            "license": "1-147471",
            "primary": false
        },
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "AL",
            "license": "1-147471",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Talladega, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.