Laree A Shule, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209-002831 Issued in IL

Practice address

1490 E Walnut St
Ste a
Watseka, IL 60970-1806

Phone

(815) 432-7693

Fax

(815) 936-7228

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: laree.shule.1@15486.direct.athenahealth.com

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.

• Iroquois Memorial Hospital and Resident Home

  • Critical Access Hospital
  • Watseka, IL
  • NPI 1629003470
  Medicare reassignment NPD
• Iroquois Memorial Hospital and Resident Home

  dba IMH Multi-Specialty Physicians

  • Clinic/Center
  • Watseka, IL
  • NPI 1790889194
  NPD

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1629288816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 E WALNUT ST STE A",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "609701806",
            "telephone_number": "815-432-7693",
            "fax_number": "815-936-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 E WALNUT ST",
            "address_2": "STE A",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "609701806",
            "telephone_number": "815-432-7693",
            "fax_number": "815-936-7228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Fairman Ave",
            "address_purpose": "LOCATION",
            "city": "Watseka",
            "state": "IL",
            "postal_code": "609701644",
            "country_code": "US",
            "telephone_number": "815-432-5841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHULE",
        "first_name": "LAREE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Critical Care Medicine",
            "state": "IL",
            "license": "209-002831",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-002831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laree.shule.1@15486.direct.athenahealth.com",
            "affiliation": "Y",
            "endpointDescription": "IMH MSP",
            "affiliationName": "Iroquois Memorial Hospital and resident Home",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 Laird Ln",
            "city": "Watseka",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609707568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brittani Ann Seagren, APRN-NP, FNP-C
• Pradip Shah, M.D.
• Suzanne Sherrill, RN
• Therese Anne Shimon, LPC
• Allison Shindelar, MSW
• Arielle Smith
• Sono Solutions, LLC
• Christina Sosnowski, PMHNP
• Spine Clinics of America
• Spine Clinics of America SC (Associated Back Care and Posada Chiropractic)

• Family Nurse Practitioner in Watseka, IL
• Providers in Watseka, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.