Individual provider Active NPI

Ryan Shiling, AGNP-C

  • Adult Health Nurse Practitioner
  • Boulder, CO
National Provider Identifier
1245148519
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN.1002407-NP Issued in CO
Practice address
4745 Arapahoe Ave Ste 300
Boulder, CO 80303-1292
Phone
(720) 550-6175
Fax
(720) 708-5058
NPI assigned
Aug 28, 2026
Last updated
Aug 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APN.1002407-NP CO Primary

Addresses

Primary practice location

4745 Arapahoe Ave Ste 300
Boulder, CO 80303-1292

Mailing address

4745 Arapahoe Ave Ste 300
Boulder, CO 80303-1292
Phone (720) 550-6175

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

NPI Registry JSON

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

{
    "created_epoch": "1787875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1245148519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 ARAPAHOE AVE STE 300",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031292",
            "telephone_number": "720-550-6175",
            "fax_number": "720-708-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 ARAPAHOE AVE STE 300",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031292",
            "telephone_number": "720-550-6175",
            "fax_number": "720-708-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHILING",
        "first_name": "RYAN",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-28",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "APN.1002407-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.