Individual provider Active NPI

Sheila Marie Charbonier, PA

  • Medical Physician Assistant
  • Valhalla, NY
National Provider Identifier
1811211162
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
003264-1 Issued in NY
Practice address
35 Shelley Ave
Currently Unemployed
Valhalla, NY 10595-1405
Phone
(914) 761-0780
NPI assigned
Mar 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 003264-1 NY Primary

Addresses

Primary practice location

35 Shelley Ave
Currently Unemployed
Valhalla, NY 10595-1405

Mailing address

35 Shelley Ave
Valhalla, NY 10595-1405
Phone (914) 761-0780

Other identifiers 2

IdentifierTypeStateIssuer
003264-1OtherNYSTATE OF NY
1017648OtherNCCPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
003264-1NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1811211162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SHELLEY AVE",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951405",
            "telephone_number": "914-761-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 SHELLEY AVE",
            "address_2": "CURRENTLY UNEMPLOYED",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951405",
            "telephone_number": "914-761-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARBONIER",
        "first_name": "SHEILA",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-16",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "003264-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NY",
            "identifier": "003264-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1017648",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

Verify at the official NPI Registry.