Active NPI
Nicole Elyse Shadid, M.D.
- Psychiatry Physician
- Denver, CO
National Provider Identifier
1902946452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 48828
- Practice address
- 180 Adams St Ste 240
Denver, CO 80206-5223 - Phone
- (303) 656-9215
- Fax
- (303) 459-7827
- NPI assigned
- Feb 7, 2007
- Last updated
- Jan 29, 2013
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 48828 | CO | Primary |
Addresses
Primary practice location
180 Adams St Ste 240
Denver, CO 80206-5223
Mailing address
180 Adams St Ste 240
Denver, CO 80206-5223
Phone (303) 656-9215
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48828 | CO | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359417600000",
"number": "1902946452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 ADAMS ST STE 240",
"city": "DENVER",
"state": "CO",
"postal_code": "802065223",
"telephone_number": "303-656-9215",
"fax_number": "303-459-7827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 ADAMS ST STE 240",
"city": "DENVER",
"state": "CO",
"postal_code": "802065223",
"telephone_number": "303-656-9215",
"fax_number": "303-459-7827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHADID",
"first_name": "NICOLE",
"middle_name": "ELYSE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2013-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "48828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.