Individual provider Active NPI

May Belle Jay Fellenz, FNP - BC

  • Medical-Surgical Registered Nurse
  • Charlottesville, VA
National Provider Identifier
1760057467
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
0001301530 Issued in VA
Practice address
59C Barclay Place CT Apt C
Charlottesville, VA 22901-2494
Phone
(501) 881-8106
NPI assigned
May 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 0001301530 VA Primary

Addresses

Primary practice location

59C Barclay Place CT Apt C
Charlottesville, VA 22901-2494

Mailing address

59C Barclay Place CT Apt C
Charlottesville, VA 22901-2494
Phone (501) 881-8106

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EMR Health Information Exchange (HIE)

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
0001301530VAMDMedical-Surgical Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1760057467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59C BARCLAY PLACE CT APT C",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012494",
            "telephone_number": "501-881-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59C BARCLAY PLACE CT APT C",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012494",
            "telephone_number": "501-881-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLENZ",
        "first_name": "MAY BELLE",
        "middle_name": "JAY",
        "credential": "FNP - BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "VA",
            "license": "0001301530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "59C Barclay Place Ct Apt C",
            "city": "Charlottesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229012494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.