Individual provider Active NPI

Shellieann A Chevers-Milano, LPN

  • Licensed Practical Nurse
  • Poughkeepsie, NY
National Provider Identifier
1750710224
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
316332-1 Issued in NY
Practice address
114 Bermuda Blvd
Poughkeepsie, NY 12603-7002
Phone
(845) 559-7836
NPI assigned
Nov 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 316332-1 NY Primary

Addresses

Primary practice location

114 Bermuda Blvd
Poughkeepsie, NY 12603-7002

Mailing address

114 Bermuda Blvd
Poughkeepsie, NY 12603-7002
Phone (845) 559-7836

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
316332-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1750710224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 BERMUDA BLVD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126037002",
            "telephone_number": "845-559-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 BERMUDA BLVD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126037002",
            "telephone_number": "845-559-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEVERS-MILANO",
        "first_name": "SHELLIEANN",
        "middle_name": "A",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "316332-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.