Active NPI
Gloria Shalders, MSHA, BSN, APRN
- Registered Nurse
- Norwood, MA
National Provider Identifier
1912436288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 9278096
- Practice address
- 55 David Ter Apt 19
Norwood, MA 02062-3968 - Phone
- (781) 975-6844
- NPI assigned
- Jun 8, 2017
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9278096 | FL | Primary |
Addresses
Primary practice location
55 David Ter Apt 19
Norwood, MA 02062-3968
Mailing address
11176 W Sample Rd
Coral Springs, FL 33065-2661
Phone (754) 242-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912436288 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Norwood | Health Information Exchange (HIE) |
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
- Bachelor on Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9278096 | FL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sinai Mountain Homecare | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Nursing Home Administrator
- Horizon City, TX
- NPI 1235615550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649808000000",
"number": "1912436288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11176 W SAMPLE RD",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330652661",
"telephone_number": "754-242-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 DAVID TER APT 19",
"city": "NORWOOD",
"state": "MA",
"postal_code": "020623968",
"telephone_number": "781-975-6844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHALDERS",
"first_name": "GLORIA",
"credential": "MSHA, BSN, APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-08",
"last_updated": "2022-04-13",
"certification_date": "2022-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9278096",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1912436288",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Norwood",
"affiliation": "N",
"endpointDescription": "SERVICES",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "55 David Ter Apt 19",
"city": "Norwood",
"state": "MA",
"country_code": "US",
"postal_code": "020623968",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Norwood, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.