Active NPI
Amy Nicole Shelley, RN AND DOULA
- Doula
- Myrtle Beach, SC
National Provider Identifier
1790676419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- License
- 263879
- Practice address
- 5064 Pastoral Way
Myrtle Beach, SC 29588-3007 - Phone
- (843) 957-1574
- NPI assigned
- Jul 11, 2025
- 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 |
|---|---|---|---|---|
| Doula | 374J00000X | 263879 | SC | Primary |
Addresses
Primary practice location
5064 Pastoral Way
Myrtle Beach, SC 29588-3007
Mailing address
5064 Pastoral Way
Myrtle Beach, SC 29588-3007
Phone (843) 957-1574
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 263879 | SC | MD | Doula |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752192000000",
"number": "1790676419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5064 PASTORAL WAY",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295883007",
"telephone_number": "843-957-1574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5064 PASTORAL WAY",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295883007",
"telephone_number": "843-957-1574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELLEY",
"first_name": "AMY",
"middle_name": "NICOLE",
"credential": "RN AND DOULA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-11",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "SC",
"license": "263879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.