Active NPI
Celeste M Schultz, RNC MS CPNP
- Pediatric Nurse Practitioner
- Toledo, OH
National Provider Identifier
1619962826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN149235
- Practice address
- 3949 Sunforest CT
Ste 203 Twin Oaks Pediatrics
Toledo, OH 43623-4473 - Phone
- (419) 292-0191
- Fax
- (419) 292-0589
- NPI assigned
- Sep 14, 2005
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN149235 | OH | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | NP00066 | OH | |
| Pediatric Nurse Practitioner | 363LP0200X | CTP00066RX | OH | |
| Pediatric Nurse Practitioner | 363LP0200X | 4704139413 | MI | |
| Pediatric Nurse Practitioner | 363LP0200X | 1493086 | MI | |
| Pediatric Nurse Practitioner | 363LP0200X | 1492748 | MI |
Addresses
Primary practice location
3949 Sunforest CT
Ste 203 Twin Oaks Pediatrics
Toledo, OH 43623-4473
Mailing address
4235 Secor Rd
Toledo, OH 43623-4231
Phone (419) 473-3561
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2054397 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Certified Pediatric Nurse Practitioner, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1492748 | MI | MD | Pediatric Nurse Practitioner |
| 1493086 | MI | MD | Pediatric Nurse Practitioner |
| 4704139413 | MI | MD | Pediatric Nurse Practitioner |
| CTP00066RX | OH | MD | Pediatric Nurse Practitioner |
| NP00066 | OH | MD | Pediatric Nurse Practitioner |
| RN149235 | OH | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twin Oaks Pediatrics | 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 and National Provider Directory roles.
-
- Pediatrics Physician
- Toledo, OH
- NPI 1114049079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343692800000",
"number": "1619962826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4235 SECOR RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234231",
"telephone_number": "419-473-3561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3949 SUNFOREST CT",
"address_2": "STE 203 TWIN OAKS PEDIATRICS",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234473",
"telephone_number": "419-292-0191",
"fax_number": "419-292-0589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "CELESTE",
"middle_name": "M",
"credential": "RNC MS CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-14",
"last_updated": "2012-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OH",
"license": "RN149235",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OH",
"license": "NP00066",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OH",
"license": "CTP00066RX",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MI",
"license": "4704139413",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MI",
"license": "1493086",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MI",
"license": "1492748",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2054397",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.