Individual provider Active NPI

Nathalie Miriam Shelor, CPNP

  • Pediatric Nurse Practitioner
  • Rosedale, MD
National Provider Identifier
1962793729
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R194676 Issued in MD
Practice address
6830 Hospital Dr
Suite 206
Rosedale, MD 21237-4373
Phone
(410) 238-5390
Fax
(410) 238-5396
NPI assigned
Apr 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X R194676 MD Primary

Addresses

Primary practice location

6830 Hospital Dr
Suite 206
Rosedale, MD 21237-4373

Mailing address

6830 Hospital Dr
Suite #206
Rosedale, MD 21237-4373
Phone (410) 238-5390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241009003375 DE Practitioner - Nurse Practitioner 2365748522 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Nemours Foundation CurrentSince Nov 1, 2024 Accepting new patients
The Nemours Foundation CurrentSince Nov 1, 2024 Accepting new patients

Locations

200 Cleaver Farms Rd
Ste 201
Middletown, DE 19709
Phone (302) 378-5100

1600 Rockland Rd
Wilmington, DE 19803

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1962793729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6830 HOSPITAL DR",
            "address_2": "SUITE #206",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374373",
            "telephone_number": "410-238-5390",
            "fax_number": "410-238-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6830 HOSPITAL DR",
            "address_2": "SUITE 206",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374373",
            "telephone_number": "410-238-5390",
            "fax_number": "410-238-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELOR",
        "first_name": "NATHALIE",
        "middle_name": "MIRIAM",
        "name_prefix": "Miss",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-28",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R194676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

Verify at the official NPI Registry.