Active NPI
Caroline Marshall Shults, NP
- Pediatric Nurse Practitioner
- Columbus, OH
National Provider Identifier
1114385994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN.CNP.17915
- Practice address
- 700 Childrens Dr
Columbus, OH 43205-2664 - Phone
- (614) 722-2000
- NPI assigned
- Feb 8, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APRN.CNP.17915 | OH | |
| Pediatric Nurse Practitioner | 363LP0200X | 10706 | WI | |
| Pediatric Nurse Practitioner | 363LP0200X | APRN.CNP.17915 | OH | Primary |
Addresses
Primary practice location
700 Childrens Dr
Columbus, OH 43205-2664
Mailing address
4790 Bell Classic Dr
Grove City, OH 43123-1373
Other practice location 1
8915 W Connell Ave
Milwaukee, WI 53226-3067
Phone (414) 266-2000
Other practice location 2
9000 W Wisconsin Ave
Milwaukee, WI 53226-4874
Phone (414) 266-6820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114385994 | Medicaid | WI |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10706 | WI | MD | Pharmacist |
| APRN.CNP.17915 | OH | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nationwide Children'S Hospital | 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 and National Provider Directory roles.
-
- Dental Clinic/Center
- Columbus, OH
- NPI 1407013964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745539200000",
"number": "1114385994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4790 BELL CLASSIC DR",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431231373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 CHILDRENS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052664",
"telephone_number": "614-722-2000"
}
],
"practiceLocations": [
{
"address_1": "8915 W Connell Ave",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532263067",
"country_code": "US",
"telephone_number": "414-266-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9000 W Wisconsin Ave",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532264874",
"country_code": "US",
"telephone_number": "414-266-6820",
"fax_number": "414-266-6979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHULTS",
"first_name": "CAROLINE",
"middle_name": "MARSHALL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-08",
"last_updated": "2025-04-25",
"certification_date": "2025-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "APRN.CNP.17915",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "WI",
"license": "10706",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OH",
"license": "APRN.CNP.17915",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114385994",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.