Shelton M Hisley, OB GYN NP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

051074 Issued in NC

Practice address

25 Courthouse Dr. NE
Bolivia, NC 28422

Phone

(910) 253-2250

Fax

(910) 253-2370

NPI assigned

Mar 16, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891829008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4336 LOBLOLLY CIR SE",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618491",
            "telephone_number": "910-253-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 COURTHOUSE DR. NE",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "28422",
            "telephone_number": "910-253-2250",
            "fax_number": "910-253-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISLEY",
        "first_name": "SHELTON",
        "middle_name": "M",
        "credential": "OB GYN NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NC",
            "license": "051074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hearo Inc
• Alison Heenan
• Kimberly Fayette Jean Hensley, DO
• Brittany S Hewett, PHD. CFLE
• John C Hisley, M..
• Joseph Henry Hobbs, PA
• Heather Howard, LCSWA
• Donald Hudson, PHD
• Channing Deneshia Huggins
• Sharon Diane Hughes, MS, CCC-SLP

• Obstetrics & Gynecology Nurse Practitioner in Bolivia, NC
• Providers in Bolivia, NC by specialty
• Obstetrics & Gynecology Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.