Active NPI
Colleen M Shula, APRN
- Family Nurse Practitioner
- Porter, ME
National Provider Identifier
1003266248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP161189
- Practice address
- 70 Main St
Porter, ME 04068-3527 - Phone
- (207) 756-9412
- NPI assigned
- Jun 19, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP161189 | ME | Primary |
Addresses
Primary practice location
70 Main St
Porter, ME 04068-3527
Mailing address
70 Main St
Porter, ME 04068-3527
Phone (207) 756-9412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP161189 | ME | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480464000000",
"number": "1003266248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 MAIN ST",
"city": "PORTER",
"state": "ME",
"postal_code": "040683527",
"telephone_number": "207-756-9412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 MAIN ST",
"city": "PORTER",
"state": "ME",
"postal_code": "040683527",
"telephone_number": "207-756-9412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULA",
"first_name": "COLLEEN",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-19",
"last_updated": "2016-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP161189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Porter, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.