Active NPI
Caryn N Sheftel
- Family Nurse Practitioner
- Longmont, CO
National Provider Identifier
1891956488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4204
- Practice address
- 2030 Mountain View Ave
#200
Longmont, CO 80501-3178 - Phone
- (720) 652-8444
- Fax
- (720) 652-8445
- NPI assigned
- Jun 17, 2008
- Last updated
- Nov 14, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4204 | CO | Primary |
Addresses
Primary practice location
2030 Mountain View Ave
#200
Longmont, CO 80501-3178
Mailing address
2030 Mountain View Ave
Suite 200
Longmont, CO 80501-3178
Phone (720) 652-8444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4204 | CO | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479081600000",
"number": "1891956488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2030 MOUNTAIN VIEW AVE",
"address_2": "SUITE 200",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805013178",
"telephone_number": "720-652-8444",
"fax_number": "720-652-8445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 MOUNTAIN VIEW AVE",
"address_2": "#200",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805013178",
"telephone_number": "720-652-8444",
"fax_number": "720-652-8445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEFTEL",
"first_name": "CARYN",
"middle_name": "N",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-17",
"last_updated": "2016-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "4204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.