Carol Jean Shoulders, RD CDE LD

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

09315463 Issued in NM

Practice address

US Hwy 491 North
Shiprock, NM 87420

Phone

(505) 968-6020

Fax

(505) 368-6481

NPI assigned

Oct 3, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1841287182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "874200160",
            "telephone_number": "505-368-8020",
            "fax_number": "505-368-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US HWY 491 NORTH",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "87420",
            "telephone_number": "505-968-6020",
            "fax_number": "505-368-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOULDERS",
        "first_name": "CAROL",
        "middle_name": "JEAN",
        "name_prefix": "Miss",
        "credential": "RD CDE LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NM",
            "license": "505",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NM",
            "license": "09315463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17125758",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fridonna Leigh Shepard-Steele, CADC
• Alicia A Sherman-Howe
• Shiprock Clinic
• Shiprock Clinic LTD
• Vanessa T. Shorthair, RN
• Ellen Leslie Sibelius, CNM
• Justin B Sikes, DMD
• Simple Transport
• Anna Marie Skarphol, PHARMD
• Shawn Skurky

• Diabetes Educator Registered Nurse in Shiprock, NM
• Providers in Shiprock, NM by specialty
• Diabetes Educator Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.