Active NPI
Nichole L Shoulders, CPRS
- Peer Specialist
- Columbus, OH
National Provider Identifier
1881495513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- APS.005788
- Practice address
- 1791 Alum Creek Dr
Columbus, OH 43207-1708 - Phone
- (614) 445-8131
- NPI assigned
- Mar 19, 2025
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | APS.005788 | OH | Primary |
Addresses
Primary practice location
1791 Alum Creek Dr
Columbus, OH 43207-1708
Mailing address
522 Fairwood Ave
Columbus, OH 43205-2550
Phone (614) 330-1606
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APS.005788 | OH | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1881495513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 FAIRWOOD AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052550",
"telephone_number": "614-330-1606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1791 ALUM CREEK DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432071708",
"telephone_number": "614-445-8131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOULDERS",
"first_name": "NICHOLE",
"middle_name": "L",
"credential": "CPRS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-19",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "APS.005788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.