Active NPI
Shellie L Harms, PA
- Medical Physician Assistant
- Colorado Springs, CO
National Provider Identifier
1679616791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 998
- Practice address
- 47 Widefield Blvd
Colorado Springs, CO 80911-2126 - Phone
- (719) 282-6100
- Fax
- (719) 282-6106
- NPI assigned
- Feb 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 998 | CO | Primary |
Addresses
Primary practice location
47 Widefield Blvd
Colorado Springs, CO 80911-2126
Mailing address
47 Widefield Blvd
Colorado Springs, CO 80911-2126
Phone (719) 390-4335
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 998 | CO | MD | Health Service Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461542400000",
"number": "1679616791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 WIDEFIELD BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809112126",
"telephone_number": "719-390-4335",
"fax_number": "719-390-4566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 WIDEFIELD BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809112126",
"telephone_number": "719-282-6100",
"fax_number": "719-282-6106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARMS",
"first_name": "SHELLIE",
"middle_name": "L",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2016-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.