Individual provider Active NPI

Natalie Shelton

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1720606437
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AC005268 Issued in MD
Practice address
3065 Brighton 2ND St # 1014
Brooklyn, NY 11235-7404
Phone
(844) 359-8363
NPI assigned
Jul 9, 2020
Last updated
Apr 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 1043889967 NY
Medical Specialty Clinic/Center 261QM2500X 1992372403 CT
Medical Specialty Clinic/Center 261QM2500X 1992372403 NJ
Family Nurse Practitioner 363LF0000X RN195187 GA
Family Nurse Practitioner 363LF0000X 289347 AZ
Family Nurse Practitioner 363LF0000X C-APN.0004691-C-NP CO
Family Nurse Practitioner 363LF0000X LG-0012307 DE
Family Nurse Practitioner 363LF0000X APRN11020413 FL
Family Nurse Practitioner 363LF0000X 14739 CT
Family Nurse Practitioner 363LF0000X AP61407467 WA
Family Nurse Practitioner 363LF0000X NP500003673 DC
Family Nurse Practitioner 363LF0000X 209026043 IL
Family Nurse Practitioner 363LF0000X RNP289347 AZ
Family Nurse Practitioner 363LF0000X 350772 NY
Family Nurse Practitioner 363LF0000X AC005268 MD Primary

Addresses

Primary practice location

3065 Brighton 2ND St # 1014
Brooklyn, NY 11235-7404

Mailing address

1950 Lancaster Dr SE
Conyers, GA 30013-6442

Other practice location 1

2 N Zack Hinton Pkwy
McDonough, GA 30253-2317
Phone (770) 957-2984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210224001020 GA Practitioner - Nurse Practitioner 3375958382 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1992372403CTMDMedical Specialty Clinic/Center
1992372403NJMDMedical Specialty Clinic/Center
1043889967NYMDMedical Specialty Clinic/Center
289347AZMDFamily Nurse Practitioner
RNP289347AZMDFamily Nurse Practitioner
C-APN.0004691-C-NPCOMDFamily Nurse Practitioner
14739CTMDFamily Nurse Practitioner
NP500003673DCMDFamily Nurse Practitioner
LG-0012307DEMDFamily Nurse Practitioner
APRN11020413FLMDFamily Nurse Practitioner
RN195187GAMDFamily Nurse Practitioner
209026043ILMDFamily Nurse Practitioner
AC005268MDMDFamily Nurse Practitioner
350772NYMDFamily Nurse Practitioner
AP61407467WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care PLLC Family CurrentSince Jan 2, 2025 Accepting new patients
Sia Medical PC Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations

2782 N Cobb Pkwy NW
Kennesaw, GA 30152
Phone (770) 420-1092

2 N Zack Hinton Pkwy
McDonough, GA 30253
Phone (770) 507-0576

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

Interoperability endpoints

  • Direct secure messaging: natalie.shelton.1@25522.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1720606437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 LANCASTER DR SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300136442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 BRIGHTON 2ND ST # 1014",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357404",
            "telephone_number": "844-359-8363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 N Zack Hinton Pkwy",
            "address_purpose": "LOCATION",
            "city": "McDonough",
            "state": "GA",
            "postal_code": "302532317",
            "country_code": "US",
            "telephone_number": "770-957-2984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "NATALIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "1043889967",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CT",
            "license": "1992372403",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "1992372403",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN195187",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "289347",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0004691-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0012307",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11020413",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "14739",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61407467",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP500003673",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209026043",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RNP289347",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "350772",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC005268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.