Kelsea Nicole Shuldes, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW-42853 Issued in ID

Practice address

3501 W Elder St Ste 300
Boise, ID 83705-4986

Phone

(208) 286-1529

NPI assigned

Jan 19, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Noble IntentGroup PAC ID 2668837675, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Noble Intent LLC

  • Clinical Social Worker
  • Boise, ID
  • NPI 1174155741
  Medicare reassignment Care Compare group NPD
• Noble Intent

  • Adolescent and Children Mental Health Clinic/Center
  • Boise, ID
  • NPI 1992502827
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1023723459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 17TH AVE S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836514840",
            "telephone_number": "520-485-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 W ELDER ST STE 300",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837054986",
            "telephone_number": "208-286-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULDES",
        "first_name": "KELSEA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LMSW-20191",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-42853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry D Showalter, MD
• Brooke Shroll, SPEECH THERAPIST
• Brea L Shrum, MD
• Kaitlyn Massey Shuey, COTA/L
• Yelena Shuey, PA-C
• Cory Andrew Shuler, N.P.
• Sara Shults
• Robert E Shumaker, PA
• Stephanie Shumaker, R.PH.
• Tegan Shuman

• Social Worker in Boise, ID
• Providers in Boise, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.