Josiah Shultz

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

9393 W 110TH St # 51
Overland Park, KS 66210-1442

Phone

(855) 832-6727

Fax

(772) 675-9100

NPI assigned

Apr 3, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1617408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617408000000",
    "number": "1366021859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 W CHASE AVE",
            "city": "BURLINGAME",
            "state": "KS",
            "postal_code": "664131549",
            "telephone_number": "785-654-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9393 W 110TH ST # 51",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101442",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTZ",
        "first_name": "JOSIAH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-03",
        "last_updated": "2021-04-03",
        "certification_date": "2021-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shsi, Inc.
• David B Shuck, DO
• Kara Shull
• Shaughnessey Shull
• Stephanie A Shull, PA-C
• Kristen Marie Sibold, OTR
• Fatima Zulfigar Siddiqui
• Kiley Conrad Siebs, PHARMD
• Mark L Siefkes, OD
• Patricia Siemann, MA, L/CCC-SLP

• All providers in Overland Park, KS
• Behavior Technician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2021; 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.