Rebekah Sharlene Shultz, RN, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

AP108374 Issued in TX

Practice address

116 Medical Dr
Palestine, TX 75801-4780

Phone

(903) 723-8554

NPI assigned

Mar 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Rebekah Sharlene Eustace Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Registered Nurse

State licenses

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1356801385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MEDICAL DR",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758014781",
            "telephone_number": "903-723-8554",
            "fax_number": "903-723-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MEDICAL DR",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758014780",
            "telephone_number": "903-723-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTZ",
        "first_name": "REBEKAH",
        "middle_name": "SHARLENE",
        "name_prefix": "Mrs.",
        "credential": "RN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "AP108374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.palestineregional.com/",
            "affiliation": "N",
            "endpointDescription": "address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "116 Medical Dr",
            "city": "Palestine",
            "state": "TX",
            "country_code": "US",
            "postal_code": "758014780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "REBEKAH",
            "last_name": "EUSTACE",
            "middle_name": "SHARLENE",
            "prefix": "MISS",
            "credential": "RN, CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barbara Shiller, P.T.
• Tania Shinohara, N.P.
• Rebecca Taylor Shipley, NP
• Carla Shirley, FNP
• Julia Lace Short, FNP-C
• Janice Lea Sikes, D.O.
• Adalid Sis, LPC
• Christina Slate, PHARM D
• Kelley Elizabeth Slate, FNP-C
• Jaime Renea Sleziak, FNP

• Advanced Practice Midwife in Palestine, TX
• Providers in Palestine, TX by specialty
• Advanced Practice Midwife in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.