Shellon O Roberts, LPN
Licensed Practical Nurse in Brooklyn, NY. Individual provider (NPI-1).
NPI number1366733271
StatusActive
Last updated in NPPESApr 26, 2011
Details
- NPI
- 1366733271
- Entity type
- Individual (NPI-1)
- Name
- Shellon O Roberts
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2011
- Last updated
- Apr 26, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 304210 | NY | Yes |
Practice location
346 E 23rd StBrooklyn, NY 11226-7009
Phone 347-461-9654
Mailing address
346 E 23rd StBrooklyn, NY 11226-7009
Phone 347-461-9654
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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