Kaely Marie Shull, LAC, DIPL. OM, ADS

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

2647 Issued in CO

Practice address

1148 W Dillon Rd Ste 1
Louisville, CO 80027-1298

Phone

(303) 578-0869

NPI assigned

Sep 25, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1881473213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 PEAR LAKE WAY",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805162637",
            "telephone_number": "720-308-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 W DILLON RD STE 1",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271298",
            "telephone_number": "303-578-0869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 S Parish Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "CO",
            "postal_code": "805347800",
            "country_code": "US",
            "telephone_number": "303-578-0869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHULL",
        "first_name": "KAELY",
        "middle_name": "MARIE",
        "credential": "LAC, DIPL. OM, ADS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "2647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanne Sherrin, PA-C
• Shelley Marie Shields, WHNP
• Lynelle Shipley, PHARMACIST
• Ashwini Shivashankarappa, DDS
• Michael Eugene Shore, D.D.S.
• Ramya Shyam, M.S., CCC-SLP
• Ann Elizabeth Sieveke, MS OTR
• Veronica Sigley
• Mary Sigman
• Amy Silverman, P.T.

• Acupuncturist in Louisville, CO
• Providers in Louisville, CO by specialty
• Acupuncturist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.