Yuliya Shanley, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN2270338 Issued in MA

Practice address

4110 Mystic Valley Pkwy
Medford, MA 02155-6931

Phone

(781) 874-9399

Fax

(781) 874-9275

NPI assigned

Nov 15, 2012

Last updated

May 21, 2022By the provider in NPPES

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 MA

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

Certified Nurse Practitioner, Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Winchester Emergency Medical Associates PC

  dba Winchester Emergency Medical Associates

  • Emergency Medicine Physician
  • Winchester, MA
  • NPI 1831131473
  Medicare reassignment NPD

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653091200000",
    "number": "1841534906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 MYSTIC VALLEY PKWY",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021556931",
            "telephone_number": "781-874-9399",
            "fax_number": "781-874-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 MYSTIC VALLEY PKWY",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021556931",
            "telephone_number": "781-874-9399",
            "fax_number": "781-874-9275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "MA",
            "postal_code": "018901446",
            "country_code": "US",
            "telephone_number": "781-756-2000",
            "fax_number": "781-756-2994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANLEY",
        "first_name": "YULIYA",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2022-05-21",
        "certification_date": "2022-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2270338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jovan Emmanuel Sematimba, RN
• Eva Ray Senner, LICSW
• Debra R. Severo, RNCS
• Shafa Physical Therapy
• Kipa Shakya, DMD
• Susan Shannon
• Mia Shapiro, MA
• Ritu Sharma, PH.D.
• Sumesh Kumar Sharma, RPH
• Jessica Shaw, MS OTR/L

• Family Nurse Practitioner in Medford, MA
• Providers in Medford, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2022; 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.