Individual provider Active NPI

Muriel P Shaul, ANP

  • Adult Health Nurse Practitioner
  • Union, OR
National Provider Identifier
1497831481
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Practice address
142 E Dearborn
Union, OR 97886-0986
Phone
(541) 562-6062
Fax
(541) 562-5757
NPI assigned
Oct 31, 2006
Last updated
Oct 29, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X OR Primary

Addresses

Primary practice location

142 E Dearborn
Union, OR 97886-0986

Mailing address

PO Box 986
Union, OR 97883-0986
Phone (541) 562-6062

Other identifiers 1

IdentifierTypeStateIssuer
139449MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
200050086NP ANP-PPORMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Health & Science University Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1497831481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 986",
            "city": "UNION",
            "state": "OR",
            "postal_code": "978830986",
            "telephone_number": "541-562-6062",
            "fax_number": "541-562-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 E DEARBORN",
            "city": "UNION",
            "state": "OR",
            "postal_code": "978860986",
            "telephone_number": "541-562-6062",
            "fax_number": "541-562-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAUL",
        "first_name": "MURIEL",
        "middle_name": "P",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139449",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.