Individual provider Active NPI

Gennady Shiling, RN

  • Addiction (Substance Use Disorder) Registered Nurse
  • Aurora, CO
National Provider Identifier
1770197535
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
0169522 Issued in CO
Practice address
206 Uvalda St
Aurora, CO 80011-8602
Phone
(303) 551-1610
NPI assigned
Aug 31, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 0169522 CO Primary

Addresses

Primary practice location

206 Uvalda St
Aurora, CO 80011-8602

Mailing address

22699 E Ida Cir
Aurora, CO 80015-6669
Phone (303) 507-3623

Other practice location 1

16313 E 7th Dr
Aurora, CO 80011-4524
Phone (303) 551-1610

Other names 1

  • Gene Shiling Other name

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0169522COMDAddiction (Substance Use Disorder) Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Lodge, LLC CurrentSince Sep 6, 2020 Accepting new patients
Lotus Lodge, LLC PastSince Sep 6, 2020 Accepting new patients
Lotus Lodge, LLC PastSince Sep 6, 2020 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1770197535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22699 E IDA CIR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800156669",
            "telephone_number": "303-507-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 UVALDA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118602",
            "telephone_number": "303-551-1610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16313 E 7th Dr",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800114524",
            "country_code": "US",
            "telephone_number": "303-551-1610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHILING",
        "first_name": "GENNADY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "0169522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENE",
            "last_name": "SHILING",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.