SHELLEY JANE CULATA VILLAMOR
NPI 1811756356
Student in an Organized Health Care Education/Training Program in Orange Park, FL

Active since March 18, 2024PECOS Enrolled
2001 KINGSLEY AVE FL 32073, ORANGE PARK, FL 32073(904) 639-8500 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shelley Jane Culata Villamor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELLEY JANE CULATA VILLAMOR (NPI 1811756356) is an individual student in an organized health care education/training program in Orange Park, Florida and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811756356
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHELLEY JANE CULATA VILLAMOR
Location Address2001 KINGSLEY AVE FL 32073Orange Park, FL 32073-5148
Mailing Address2001 Kingsley Ave Fl 32073Orange Park, FL 32073-5148
Sole ProprietorNo
Enumeration DateMarch 18, 2024
NPPES CertifiedMarch 17, 2024
NPI 1811756356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2001 KINGSLEY AVE FL 32073, Orange Park, FL 32073

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shelley Jane Culata Villamor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE FL 32073
ORANGE PARK, FL 32073
Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE FL 32073
ORANGE PARK, FL 32073
Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE FL 32073
ORANGE PARK, FL 32073
Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE FL 32073
ORANGE PARK, FL 32073
Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE FL 32073
ORANGE PARK, FL 32073
Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE FL 32073
ORANGE PARK, FL 32073

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811756356, enumerated as an "individual" on March 18, 2024.

The provider is located at 2001 KINGSLEY AVE FL 32073 ORANGE PARK, FL 32073 and the phone number is (904) 639-8500.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.