Starla S. Shields, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

44772 Issued in KS

Practice address

1409 W 7TH St
Chanute, KS 66720-2550

Phone

(620) 432-5580

Fax

(620) 431-7556

NPI assigned

Oct 10, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Southeast Kansas Physician Associates, L.L.C.

  • Obstetrics & Gynecology Physician
  • Chanute, KS
  • NPI 1053388652
  NPD (past)

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1902894397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 S PLUMMER AVE",
            "address_2": "P. O. BOX 426",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667201928",
            "telephone_number": "620-432-5580",
            "fax_number": "620-431-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 W 7TH ST",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667202550",
            "telephone_number": "620-432-5580",
            "fax_number": "620-431-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "STARLA",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "44772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100316050D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seniortrust of Chanute, LLC
• Pamela Marie Setter, LCSW
• Emily Sharma, DPT
• Heather Shepherd
• Megan Shields, LMSW
• Mallori Smith, PA-C
• South East Kansas Area Agency on Aging
• Southeast Kansas Area Agency on Aging
• Southeast Kansas Mental Health Center
• Southeast Kansas Mental Health Center

• Nurse Practitioner in Chanute, KS
• Providers in Chanute, KS by specialty
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.