Individual provider Active NPI

Kelsey Shinault, REGISTERED NURSE

  • Home Health Registered Nurse
  • Bluefield, WV
National Provider Identifier
1962236091
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
118359 Issued in WV
Practice address
545 Airport Rd
Bluefield, WV 24701-7388
Phone
(304) 325-0066
Fax
(304) 325-0077
NPI assigned
Aug 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 118359 WV Primary

Addresses

Primary practice location

545 Airport Rd
Bluefield, WV 24701-7388

Mailing address

545 Airport Rd
Bluefield, WV 24701-7388
Phone (304) 325-0066

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

LicenseStateTypeSpecialty
118359WVMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1962236091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 AIRPORT RD",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247017388",
            "telephone_number": "304-325-0066",
            "fax_number": "304-325-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 AIRPORT RD",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247017388",
            "telephone_number": "304-325-0066",
            "fax_number": "304-325-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINAULT",
        "first_name": "KELSEY",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WV",
            "license": "118359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluefield, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.