Tova Willet Shultz, CO61186739

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

CO61186739 Issued in WA

Practice address

1302 W Gardner Ave
Spokane, WA 99201-2059

Phone

(509) 904-3750

NPI assigned

Oct 2, 2021

Sex

Female

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

State licenses

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

{
    "created_epoch": "1633132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633132800000",
    "number": "1407528904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18818 E MARLIN DR",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990279560",
            "telephone_number": "509-904-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 W GARDNER AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012059",
            "telephone_number": "509-904-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTZ",
        "first_name": "TOVA",
        "middle_name": "WILLET",
        "credential": "CO61186739",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-02",
        "last_updated": "2021-10-02",
        "certification_date": "2021-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "CO61186739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Noel Shropshire, SUDP, AAC
• Elizabeth Shrosbree, CDPT
• Taylor Marie Shuff, DPT
• Lucas Shulman, PA-C
• Jacob Denton Shultz
• Nikki Shumaker
• Angelique Gabrielle Shumway
• Kodi Alicia-Theresa Shumway, NA
• David William Shurtz, OD
• Raquel Lane Shusette

• Community/Behavioral Health Agency in Spokane, WA
• Providers in Spokane, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.