Debra S Shultman, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP9371456 Issued in FL

Practice address

766 N Sun Dr Ste 3030
Lake Mary, FL 32746-2555

Phone

(407) 444-2800

Fax

(407) 444-2810

NPI assigned

Apr 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Renal Access of Central Florida LLC

  • Nephrology Physician
  • Altamonte Springs, FL
  • NPI 1790009165
  NPD (past)
• Southeast Renal Associates PA

  • Specialist
  • Charlotte, NC
  • NPI 1073697553
  NPD (past)

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1245296839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 S ORLANDO AVE",
            "address_2": "SUITE C",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894870",
            "telephone_number": "407-894-4693",
            "fax_number": "407-261-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 N SUN DR STE 3030",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462555",
            "telephone_number": "407-444-2800",
            "fax_number": "407-444-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTMAN",
        "first_name": "DEBRA",
        "middle_name": "S",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0300X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nephrology",
            "state": "FL",
            "license": "ARNP9371456",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "900474",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9371456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003891",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "59-1561574",
            "identifier": "EIN",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smita Shrivastava, PHARM.D
• Trudy Shuck, LMHC
• Jillian Shugrue
• Carla Sakosky Shulman, ARNP
• Leilani Shulterbrandt
• Corey Sickel, M.A.
• Carlye Siebens, OT
• Robin Siebold
• Lawrence D Siegel, ARNP
• Leah Sierra

• Nurse Practitioner in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.