NPI Code Detail JSON Logo

1427535541 NPI number — SHELIA ANNETTE SELLMAN AGACNP-BC

NPI Number: 1427535541
Health Care Provider/Practitioner: SHELIA ANNETTE SELLMAN AGACNP-BC

Information about “1427535541” NPI (SHELIA ANNETTE SELLMAN AGACNP-BC) exists in 1427535541 in HTML format HTML  |  1427535541 in plain Text format TXT  |  1427535541 in PDF (Portable Document Format) PDF  |  1427535541 in an XML format XML  formats.

NPI Number : 1427535541 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427535541",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SELLMAN",
    "FirstName": "SHELIA",
    "MiddleName": "ANNETTE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "AGACNP-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MANEY",
    "OtherFirstName": "SHELIA",
    "OtherMiddleName": "ANNETTE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "8595 PELHAM RD STE 400",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GREENVILLE",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29615-5763",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "864-316-8964",
    "MailingAddressFaxNumber": "877-337-6280",
    "FirstLinePracticeLocationAddress": "8595 PELHAM RD STE 400",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GREENVILLE",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29615-5763",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "864-316-8964",
    "PracticeLocationAddressFaxNumber": "877-337-6283",
    "EnumerationDate": "07/21/2018",
    "LastUpdateDate": "01/17/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LA2100X",
          "TaxonomyName": "Acute Care Nurse Practitioner",
          "LicenseNumber": "24433",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "5016118",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "280575",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "26142",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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