Shelby Alexa-dizard, CNM/WHNP, RN
Shelby Alexa-dizard, CNM/WHNP, RN is a Women's Health Nurse Practitioner in Newburgh, NY, registered under NPI 1770141616. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 136 LAKE ST STE 11, Newburgh, NY 12550. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 421498 | NY | Women's Health Nurse Practitioner primary |
| 685729 | NY | Registered Nurse |
| F001920 | NY | Midwife |
This provider holds licence 421498 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Certified Nurse Midwife (cnm)
- PAC ID
- 0547597205
Medicare enrolment is recorded as approved under the provider type Practitioner - Certified Nurse Midwife (cnm). This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Women's Health covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LW0102X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363LW0102X | Women's Health Nurse Practitioner Women's Health | 421498 | NY | primary |
| 163W00000X | Registered Nurse | 685729 | NY | |
| 176B00000X | Midwife | F001920 | NY |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1770141616 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jun 5, 2019 |
| Last updated | Feb 1, 2024 |
| Status | Active |
| Sole proprietor | No |
| Credential | CNM/WHNP, RN |
| Practice address |
136 LAKE ST STE 11 Newburgh, NY 12550 (845) 562-7800 |
| Mailing address |
86 SHERIDAN RD Scarsdale, NY 10583 |
| Other identifiers |
001920
· CNM (NY) 421498 · WHNP LICENSE (NY) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 7 | 0 | 1 | 4 | 1 | 6 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 5 | 0 | 2 | 4 | 2 | 6 | 2 |
Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.