Individual provider Active NPI

Nicole J Sheldon, L.AC.

  • Acupuncturist
  • Chicago, IL
National Provider Identifier
1992021893
Registry record updated Apr 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198.000812 Issued in IL
Practice address
3025 N Greenview Ave
Unit L
Chicago, IL 60657-3148
Phone
(917) 292-7978
NPI assigned
Apr 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198.000812 IL Primary
Acupuncturist 171100000X 003047-1 NY

Addresses

Primary practice location

3025 N Greenview Ave
Unit L
Chicago, IL 60657-3148

Mailing address

3025 N Greenview Ave
Unit L
Chicago, IL 60657-3148
Phone (917) 292-7978

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
198.000812ILMDAcupuncturist
003047-1NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271376000000",
    "number": "1992021893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 N GREENVIEW AVE",
            "address_2": "UNIT L",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573148",
            "telephone_number": "917-292-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 N GREENVIEW AVE",
            "address_2": "UNIT L",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573148",
            "telephone_number": "917-292-7978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELDON",
        "first_name": "NICOLE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-16",
        "last_updated": "2010-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.000812",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003047-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

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