Shelby Kolat, FNP-C

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

0034131 Issued in OH

Practice address

550 Trumbull Ave
Cortland, OH 44410-9403

Phone

(330) 637-2000

NPI assigned

Jun 21, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Lynn M. Johnson MD, PLLC

  • Pediatrics Physician
  • Cortland, OH
  • NPI 1568613099
  NPD
• Cortland OBGYN Associates Inc

  • Obstetrics & Gynecology Physician
  • Warren, OH
  • NPI 1861587321
  NPD (past)

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1427733849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HUFFMAN DR SW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444819780",
            "telephone_number": "330-506-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 TRUMBULL AVE",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444109403",
            "telephone_number": "330-637-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLAT",
        "first_name": "SHELBY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "0034131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Jo Karlovec, LICENSED OPTICIAN
• Joan Kerosky
• Aleasa Marie King, FNP-BC
• Nathan Knight
• Rachel Knight, RN MSN
• Maria D Kowal, M.D.
• Hannah Lorynn Kuhn, PMHNP-BC
• Benjamin J Kulper, M.D.
• Lakeview Local Schools
• Dienna Louise Landis, CNP

• Pediatric Nurse Practitioner in Cortland, OH
• Providers in Cortland, OH by specialty
• Pediatric Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.