Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shelby L Blackley

Individual provider Surgical Physician Assistant · NPI 1518584259

Shelby L Blackley is a Surgical Physician Assistant in Trumbull, Connecticut. Licensed in Connecticut. Registered with an NPI since 2020.

Licensed in
CT
In the registry since
2020

Practice location Address checks out

5520 Park Ave Ste WP-2300
Trumbull, CT 06611-3463
Phone: (203) 374-0310
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 4908 (CT)

Record details

NPI number1518584259
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 29, 2020
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025

Other providers in Trumbull