Active NPI
Ivy Shelby, R.N., F.N.P.
- Family Nurse Practitioner
- Rochester, NY
National Provider Identifier
1710909056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F332216-1
- Practice address
- 505 Mount Hope Ave
Rochester, NY 14620-2251 - Phone
- (585) 546-8400
- NPI assigned
- Jul 24, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F332216-1 | NY | Primary |
Addresses
Primary practice location
505 Mount Hope Ave
Rochester, NY 14620-2251
Mailing address
56 Continental Dr
Rochester, NY 14618-2006
Phone (585) 256-1284
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, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F332216-1 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710909056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 CONTINENTAL DR",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146182006",
"telephone_number": "585-256-1284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 MOUNT HOPE AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146202251",
"telephone_number": "585-546-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELBY",
"first_name": "IVY",
"credential": "R.N., F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F332216-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.