Gabriella Shultz, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601002203 Issued in MI

Practice address

19008 Homer Rd
Marshall, MI 49068-9768

Phone

(269) 588-2281

NPI assigned

Sep 26, 2018

Last updated

Dec 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Gabriella Andrews Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: gabriella.shultz.p4@direct.athleticoltd.nextgenshare.com

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1043795099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19008 HOMER RD",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490689768",
            "telephone_number": "269-588-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19008 HOMER RD",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490689768",
            "telephone_number": "269-588-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTZ",
        "first_name": "GABRIELLA",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601002203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIELLA",
            "last_name": "ANDREWS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aajay Shah, M.D.
• Vincent Shen, M.D.
• Barbara S Sherer, FNP
• Michelle Anna Shoup
• Nicole L Shroyer, LPC
• William Robert Shumaker, MA, LPC, NCC
• Tricia Raquel Sikkenga
• Lisa Slusarski
• Alexia Marie Smith, N.P.
• Derricka E Smith, MA LLP

• Athletic Trainer in Marshall, MI
• Providers in Marshall, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.