Individual provider Active NPI

Nishita Nitesh Shetty, M.D

  • Student in an Organized Health Care Education/Training Program
  • Morganton, NC
National Provider Identifier
1780376715
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
2201 S. Sterling St Unc Health Blue Ridge
Morganton, NC 28655
Phone
(828) 580-5357
Fax
(828) 580-6847
NPI assigned
May 26, 2023
Last updated
Aug 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

2201 S. Sterling St Unc Health Blue Ridge
Morganton, NC 28655

Mailing address

2201 S. Sterling St Unc Health Blue Ridge
Morganton, NC 28655
Phone (828) 580-5357

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231005002351 NC Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 0648625921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1780376715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 S. STERLING ST UNC HEALTH BLUE RIDGE",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "28655",
            "telephone_number": "828-580-5357",
            "fax_number": "828-580-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 S. STERLING ST UNC HEALTH BLUE RIDGE",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "28655",
            "telephone_number": "828-580-5357",
            "fax_number": "828-580-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETTY",
        "first_name": "NISHITA",
        "middle_name": "NITESH",
        "name_prefix": "Mrs.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-08-29",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

Verify at the official NPI Registry.