Active NPI
Shelia Harris Kasulka, RN
- Registered Nurse
- Decatur, AL
National Provider Identifier
1033361639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1-097409
- Practice address
- 801 Church Street
Suite 1
Decatur, AL 35602 - Phone
- (256) 355-4461
- Fax
- (256) 355-4370
- NPI assigned
- Oct 15, 2008
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1-097409 | AL | Primary |
Addresses
Primary practice location
801 Church Street
Suite 1
Decatur, AL 35602
Mailing address
2868 Acton Road
Birmingham, AL 35243
Phone (205) 968-8360
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-097409 | AL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama Psychiatric Services PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Birmingham, AL
- NPI 1033159306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224028800000",
"number": "1033361639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2868 ACTON ROAD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35243",
"telephone_number": "205-968-8360",
"fax_number": "205-968-8361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 CHURCH STREET",
"address_2": "SUITE 1",
"city": "DECATUR",
"state": "AL",
"postal_code": "35602",
"telephone_number": "256-355-4461",
"fax_number": "256-355-4370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASULKA",
"first_name": "SHELIA",
"middle_name": "HARRIS",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-15",
"last_updated": "2008-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AL",
"license": "1-097409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.