1. Home
  2. Directory
  3. Florida
  4. Orange Park
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

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: August 09, 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 and maintains a secondary practice location in Orange Park.

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
Phone(904) 639-8500
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

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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
Open in Google Maps ↗

Secondary Practice Location 1

Location 12001 Kingsley Ave Fl 32073Orange Park, FL 32073-5148 · Phone (904) 639-8500

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.

REX BURCH DO
Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE FL 32073
ORANGE PARK, FL 32073
Clay County (904) 639-8500
REED POPP MD
Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE FL 32073
ORANGE PARK, FL 32073
Clay County (904) 639-8242
DR. ADAM AWWAD MD
Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE FL 32073
ORANGE PARK, FL 32073
Clay County (904) 639-8500
MHD OSAMA SROUR
Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE FL 32073
ORANGE PARK, FL 32073
Clay County (904) 639-8500
DR. MAHMOUD ELMAHDY
Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE FL 32073
ORANGE PARK, FL 32073
Clay County (904) 639-2005
JACOB HENRY MARTIN DO
Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE FL 32073
ORANGE PARK, FL 32073
Clay County (904) 639-8500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelley Jane Villamor's NPI number?

The NPI number for Shelley Jane Villamor is 1811756356. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Shelley Jane Villamor located?

Shelley Jane Villamor practices at 2001 Kingsley Ave Fl 32073, Orange Park, FL 32073. The listed phone number is (904) 639-8500.

What is Shelley Jane Villamor's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shelley Jane Villamor enrolled in Medicare?

Yes. Shelley Jane Villamor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shelley Jane Villamor was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.