Individual provider Active NPI

Deloris Ann Shaub, R.N.

  • Registered Nurse
  • Billings, MT
National Provider Identifier
1215199443
Registry record updated Jun 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
12566 Issued in MT
Practice address
1127 Alderson Ave
Billings, MT 59102-4200
Phone
(406) 245-7318
NPI assigned
Jun 29, 2008
Last updated
Jun 29, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 12566 MT Primary

Addresses

Primary practice location

1127 Alderson Ave
Billings, MT 59102-4200

Mailing address

1127 Alderson Ave
Billings, MT 59102-4200
Phone (406) 245-7318

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

LicenseStateTypeSpecialty
12566MTMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1214697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214697600000",
    "number": "1215199443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 ALDERSON AVE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591024200",
            "telephone_number": "406-245-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 ALDERSON AVE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591024200",
            "telephone_number": "406-245-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAUB",
        "first_name": "DELORIS",
        "middle_name": "ANN",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-29",
        "last_updated": "2008-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MT",
            "license": "12566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.

Verify at the official NPI Registry.