Shinu Elias

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

5010594 Issued in NC

Practice address

301 Keisler Dr Ste E
Cary, NC 27518-7018

Phone

(919) 858-8481

NPI assigned

Jun 13, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NC

  Medicare reassignment NPD
• Cary Family Practice and Walk-in Clinic, PC

  • Family Medicine Physician
  • Cary, NC
  • NPI 1821061003
  NPD (past)

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607731200000",
    "number": "1770076861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 VALLONIA DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275196624",
            "telephone_number": "919-889-8651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 KEISLER DR STE E",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187018",
            "telephone_number": "919-858-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIAS",
        "first_name": "SHINU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2020-12-12",
        "certification_date": "2020-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5010594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie G Elber, RD, LDN
• Bobby V. Elder Jr., LPCA
• James Lucas Elder
• Elemental Chiropractic PLLC
• Faith Best Elgart, OTR/L
• Elite Hands Physician Assistant Services, PLLC
• Returi Priti Elkins-Williams, MD
• Maha A. Elkordy, M.D.
• Elle Brown Counseling & Consulting, PLLC
• Benjamin Paul Ellenberger

• Primary Care Nurse Practitioner in Cary, NC
• Providers in Cary, NC by specialty
• Primary Care Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.