Active NPI
Shelly J Ewert, RN
- Community Health Worker
- Batavia, NY
National Provider Identifier
1871833079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 620365
- Practice address
- 8996 Wilkinson Rd
Batavia, NY 14020-9576 - Phone
- (585) 815-3352
- NPI assigned
- Feb 25, 2013
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 620365 | NY | Primary |
Addresses
Primary practice location
8996 Wilkinson Rd
Batavia, NY 14020-9576
Mailing address
8996 Wilkinson Rd
Batavia, NY 14020-9576
Phone (585) 815-3352
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 |
|---|---|---|---|
| 620365 | NY | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361750400000",
"number": "1871833079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8996 WILKINSON RD",
"city": "BATAVIA",
"state": "NY",
"postal_code": "140209576",
"telephone_number": "585-815-3352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8996 WILKINSON RD",
"city": "BATAVIA",
"state": "NY",
"postal_code": "140209576",
"telephone_number": "585-815-3352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWERT",
"first_name": "SHELLY",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-25",
"last_updated": "2013-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NY",
"license": "620365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Batavia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.