Individual provider Active NPI

Shelby Rose Schwab, FNP

  • Family Nurse Practitioner
  • Parker, CO
National Provider Identifier
1396315131
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0996089-NP Issued in CO
Practice address
12959 S Parker Rd
Parker, CO 80134-3447
Phone
(720) 842-4089
NPI assigned
Jun 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.0105259-NP CO
Family Nurse Practitioner 363LF0000X APN.0996089-NP CO Primary

Addresses

Primary practice location

12959 S Parker Rd
Parker, CO 80134-3447

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108

Other identifiers 3

IdentifierTypeStateIssuer
APN.0996089.NPOtherCOADVANCED PRACTICE NURSE
RN.0169038OtherCOREGISTERED NURSE
RXN.0105259-NPOtherCORXN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210707004115 CO Practitioner - Nurse Practitioner 4789086190 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.0105259-NPCOMDRegistered Nurse
APN.0996089-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Painted Rock Family Medicine LLC CurrentSince Sep 1, 2024 Accepting new patients
The Little Clinic of Colorado, LLC Family CurrentSince Jun 22, 2021 Accepting new patients

Locations

7984 W Alameda Ave
Lakewood, CO 80226
Phone (303) 459-7105

12959 S Parker Rd
Parker, CO 80134
Phone (303) 840-7683

17761 Cottonwood Dr
Parker, CO 80134
Phone (303) 334-9540

9998 Dransfeldt Rd
Parker, CO 80134
Phone (303) 214-0333

2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17255/brand/1/csg/1/fhir/r4
  • Direct secure messaging: shelby.schwab.1@23424.direct.athenahealth.com
  • Direct secure messaging: shelby.schwab@krogerhealth.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/23424/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1396315131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12959 S PARKER RD",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343447",
            "telephone_number": "720-842-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWAB",
        "first_name": "SHELBY",
        "middle_name": "ROSE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.0105259-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0996089-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE NURSE",
            "identifier": "APN.0996089.NP",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "RN.0169038",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RXN",
            "identifier": "RXN.0105259-NP",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.