Active NPI
Bryanna Shelton
- Social Worker
- Dayton, OH
National Provider Identifier
1780336388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1785 Big Hill Rd
Dayton, OH 45439-2219 - Phone
- (865) 456-1980
- NPI assigned
- Jan 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1785 Big Hill Rd
Dayton, OH 45439-2219
Mailing address
1785 Big Hill Rd
Dayton, OH 45439-2219
Phone (865) 456-1980
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | b.shelton5@icloud.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643068800000",
"number": "1780336388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1785 BIG HILL RD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454392219",
"telephone_number": "865-456-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1785 BIG HILL RD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454392219",
"telephone_number": "865-456-1980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON",
"first_name": "BRYANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-25",
"last_updated": "2022-01-25",
"certification_date": "2022-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "b.shelton5@icloud.com",
"affiliation": "N",
"address_1": "1785 Big Hill Rd",
"city": "Dayton",
"state": "OH",
"country_code": "US",
"postal_code": "454392219",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.