Individual provider Active NPI

Shelley G. Mellino, RN

  • School Registered Nurse
  • Cleveland, OH
National Provider Identifier
1912305475
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN134081 Issued in OH
Practice address
1355 W. 70TH
Cleveland, OH 44102
Phone
(216) 281-7146
Fax
(216) 281-7001
NPI assigned
Dec 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN134081 OH Primary

Addresses

Primary practice location

1355 W. 70TH
Cleveland, OH 44102

Mailing address

1355 W. 70TH
Cleveland, OH 44102
Phone (216) 281-7146

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

LicenseStateTypeSpecialty
RN134081OHMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418688000000",
    "number": "1912305475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 W. 70TH",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44102",
            "telephone_number": "216-281-7146",
            "fax_number": "216-281-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 W. 70TH",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44102",
            "telephone_number": "216-281-7146",
            "fax_number": "216-281-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLINO",
        "first_name": "SHELLEY",
        "middle_name": "G.",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-16",
        "last_updated": "2014-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "OH",
            "license": "RN134081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.