Individual provider Active NPI

Shirlene Marie Sulatan, FAMILY NURSE PRACTIC

  • Family Nurse Practitioner
  • Big Spring, TX
National Provider Identifier
1063651917
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
611760 Issued in TX
Practice address
609 Jeffery Rd
Big Spring, TX 79720-7920
Phone
(432) 263-0744
NPI assigned
Feb 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 611760 TX Primary

Addresses

Primary practice location

609 Jeffery Rd
Big Spring, TX 79720-7920

Mailing address

609 Jeffery Rd
Big Spring, TX 79720-7920
Phone (432) 263-0744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101104000748 TX Practitioner - Nurse Practitioner 9638363500 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission CurrentSince Oct 1, 2020 Accepting new patients
Health and Human Services Commission CurrentSince Oct 1, 2020 Accepting new patients
Health and Human Services Commission Current Accepting new patients

Locations

2501 Maple St
Abilene, TX 79602
Phone (325) 692-4053

1901 N US Highway 87
Big Spring, TX 79720
Phone (432) 267-8216

4001 Highway 36 S
Brenham, TX 77833
Phone (979) 277-1327

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1063651917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 JEFFERY RD",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797207920",
            "telephone_number": "432-263-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 JEFFERY RD",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797207920",
            "telephone_number": "432-263-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULATAN",
        "first_name": "SHIRLENE",
        "middle_name": "MARIE",
        "credential": "FAMILY NURSE PRACTIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "611760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Spring, TX

Sources for this page

Verify at the official NPI Registry.