Active NPI
Nagulinie Shukla, P.N.P.
- Pediatric Nurse Practitioner
- Fayetteville, NY
National Provider Identifier
1508943861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- F381192
- Practice address
- 6851 E Genesee St
Fayetteville, NY 13066-1023 - Phone
- (315) 446-4580
- Fax
- (315) 446-3426
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | F381192 | NY | Primary |
Addresses
Primary practice location
6851 E Genesee St
Fayetteville, NY 13066-1023
Mailing address
6851 E Genesee St
Fayetteville, NY 13066-1023
Phone (315) 446-4580
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
| License | State | Type | Specialty |
|---|---|---|---|
| F381192 | NY | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kate S Robinson MD PLLC | Past | Accepting new patients |
Interoperability endpoints
- nshukla@lyndonpediatrics.opdirect.net
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Fayetteville, NY
- NPI 1235297045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1508943861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6851 E GENESEE ST",
"city": "FAYETTEVILLE",
"state": "NY",
"postal_code": "130661023",
"telephone_number": "315-446-4580",
"fax_number": "315-446-3426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6851 E GENESEE ST",
"city": "FAYETTEVILLE",
"state": "NY",
"postal_code": "130661023",
"telephone_number": "315-446-4580",
"fax_number": "315-446-3426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUKLA",
"first_name": "NAGULINIE",
"name_prefix": "Mrs.",
"credential": "P.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "F381192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.