Active NPI
Julie Renee Shields, NP
- Adult Health Nurse Practitioner
- Kalispell, MT
National Provider Identifier
1639735616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- NUR-APRN-LIC-131696
- Practice address
- 350 Heritage Way Ste 2300
Kalispell, MT 59901-3167 - Phone
- (406) 752-8456
- NPI assigned
- May 14, 2019
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | NUR-APRN-LIC-131696 | MT | Primary |
Addresses
Primary practice location
350 Heritage Way Ste 2300
Kalispell, MT 59901-3167
Mailing address
487 Obryan LN
Kalispell, MT 59901-8805
Phone (406) 471-9025
Other names 1
- Ms. Julie Renee Romasko
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | krmcmedicalrecords@krhdirect.org | Kalispell Regional Medical Center Inc |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NUR-APRN-LIC-131696 | MT | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615248000000",
"number": "1639735616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "487 OBRYAN LN",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599018805",
"telephone_number": "406-471-9025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 HERITAGE WAY STE 2300",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013167",
"telephone_number": "406-752-8456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIELDS",
"first_name": "JULIE",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-14",
"last_updated": "2021-03-09",
"certification_date": "2021-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MT",
"license": "NUR-APRN-LIC-131696",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "krmcmedicalrecords@krhdirect.org",
"affiliation": "Y",
"affiliationName": "Kalispell Regional Medical Center Inc",
"address_1": "350 Heritage Way Ste 2300",
"city": "Kalispell",
"state": "MT",
"country_code": "US",
"postal_code": "599013167",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JULIE",
"last_name": "ROMASKO",
"middle_name": "RENEE",
"prefix": "MS.",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.