Individual provider Active NPI

Faith Joy Sheeley, LPN

  • Licensed Practical Nurse
  • Ellenville, NY
National Provider Identifier
1982916599
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
237999-1 Issued in NY
Practice address
4 Yankee PL
Ellenville, NY 12428-1510
Phone
(845) 647-6464
NPI assigned
Jul 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 237999-1 NY Primary

Addresses

Primary practice location

4 Yankee PL
Ellenville, NY 12428-1510

Mailing address

70 Kukuk LN
Kingston, NY 12401-6943
Phone (845) 336-2616

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
237999-1NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Spectrum Services Past Accepting new patients

Organizations & group practices 1

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": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1982916599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 KUKUK LN",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124016943",
            "telephone_number": "845-336-2616",
            "fax_number": "845-336-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 YANKEE PL",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124281510",
            "telephone_number": "845-647-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEELEY",
        "first_name": "FAITH",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-12",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "237999-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellenville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.