CAROL L. SHACKLETON M.D. – NPI #1629004759
Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
CAROL SHACKLETON is a physician located in GOTHENBURG, NE. NPPES has assigned the NPI number 1629004759 to CAROL SHACKLETON on June 23, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.
The NPI profile was previously updated about 14 years ago on Feb 09, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CAROL SHACKLETON below.
NPI Profile for
CAROL L. SHACKLETON
(about 20 years ago)
GOTHENBURG, NE 69138-1237 Phone: (308) 537-7131 Fax: (308) 537-7310
Identifiers for CAROL SHACKLETON
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | CAQH | NE | 11595205 |
| OTHER | MEDICARE GROUP | NE | 099905 |
| OTHER | MIDLANDS CHOICE | NE | 6366 |
| OTHER | STATE BC/BS | NE | 03042 |
| MEDICAID | NE | 100253852-00 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207Q00000X - Family Medicine (Primary) |
NE | 16620 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.