Sheliegh Shillito, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

169496 Issued in NC

Practice address

7542 Brookfield Dr
Lewisville, NC 27023-9649

Phone

(336) 486-1852

NPI assigned

Nov 5, 2019

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 identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1740824440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7542 BROOKFIELD DR",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270239649",
            "telephone_number": "336-486-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7542 BROOKFIELD DR",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270239649",
            "telephone_number": "336-486-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHILLITO",
        "first_name": "SHELIEGH",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NC",
            "license": "169496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PART B MEDICARE",
            "identifier": "29354682",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "briball1805@gmail.com",
            "affiliation": "N",
            "address_1": "7542 Brookfield Dr",
            "city": "Lewisville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "270239649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Meredith Showalter, M.A., CCC-SLP
• Emma Claire Shugart, LCMHCA
• Rickey L. Sipe, O.D.
• Speakeasy Therapy, PLLC
• Summer Wellnessllp

• General Practice Registered Nurse in Lewisville, NC
• Providers in Lewisville, NC by specialty
• General Practice Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.