Shelley Segal Jones

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

ARNP1727542 Issued in FL

Practice address

325 Clyde Morris Blvd Ste 390
Ormond Beach, FL 32174-8179

Phone

(386) 425-4450

Fax

(386) 425-4451

NPI assigned

Jun 26, 2014

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

Other names 1

• Shelley Ann Segal Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1851706014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N CLYDE MORRIS BLVD # 10E",
            "address_2": "PBFS DEPT",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142709",
            "telephone_number": "386-254-4000",
            "fax_number": "386-226-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CLYDE MORRIS BLVD STE 390",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748179",
            "telephone_number": "386-425-4450",
            "fax_number": "386-425-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SHELLEY",
        "middle_name": "SEGAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "ARNP1727542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "SEGAL",
            "middle_name": "ANN",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Johnston, COTA/L
• Chloe Marie Jones Spiker
• Doris Jane Jones, ARNP
• Gordon Jones, M.D.
• Madisyn Jones
• Dujuana Jordan
• Joyce Beth Ravain MD PA
• JTS Hope and Healing Wellness Center
• Karen Ann Kamm, MA CCC SLP
• Ruth Kangethe, APRN

• Women's Health Nurse Practitioner in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Women's Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.