Karen Lee Shidler, R.N., B.S.N., C.D.E.

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

28076852A Issued in IN

Practice address

1101 Michigan Ave
Logansport, IN 46947-1528

Phone

(574) 753-1767

Fax

(574) 753-1410

NPI assigned

May 4, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417169392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MICHIGAN AVE",
            "address_2": "P.O. BOX 7013",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471528",
            "telephone_number": "574-753-1767",
            "fax_number": "574-753-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MICHIGAN AVE",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471528",
            "telephone_number": "574-753-1767",
            "fax_number": "574-753-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIDLER",
        "first_name": "KAREN",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "R.N., B.S.N., C.D.E.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "IN",
            "license": "28076852A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200220390A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert C. Shaw Jr., M.D.
• Daniel Alan Shemwell, MSED.
• Jessica Shepler, PHARMD
• Kathleen Snider Shepler, O.D.
• Sheridan Healthcare of Indiana PC
• Nasser M. Shinwarie, M.D.
• Cheryl Shively, FNP-C
• David George Short, DO
• Sarah Marie Silance, BA
• Sydney Rae Sims, LAT, ATC

• Diabetes Educator Registered Nurse in Logansport, IN
• Providers in Logansport, IN by specialty
• Diabetes Educator Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.