Active NPI
Shelba Nicholas
- Licensed Practical Nurse
- Anchorage, AK
National Provider Identifier
1861358624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- NURP6717
- Practice address
- 4000 Old Seward Hwy
Anchorage, AK 99503-6068 - Phone
- (907) 770-0862
- Fax
- (844) 845-1120
- NPI assigned
- Dec 24, 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | NURP6717 | AK | Primary |
Addresses
Primary practice location
4000 Old Seward Hwy
Anchorage, AK 99503-6068
Mailing address
18627 Man O War Rd
Eagle River, AK 99577-8336
Phone (907) 229-4239
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NURP6717 | AK | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767052800000",
"number": "1861358624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18627 MAN O WAR RD",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995778336",
"telephone_number": "907-229-4239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 OLD SEWARD HWY",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995036068",
"telephone_number": "907-770-0862",
"fax_number": "844-845-1120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLAS",
"first_name": "SHELBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-24",
"last_updated": "2025-12-30",
"certification_date": "2025-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "AK",
"license": "NURP6717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.