Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Christine Shattuck, DO

Individual provider Emergency Medicine Physician · NPI 1437415692

Nicole Christine Shattuck, DO is an Emergency Medicine in Eureka, California. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2012, 14 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Florida.

Years since qualifying
14
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
CA, FL
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2700 Dolbeer St
Eureka, CA 95501-4736
Phone: (707) 445-8121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9330 St. Road 54, Trinity, FL 34655-7013 — (727) 834-4000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 20A16609 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence OS14010 (FL)

Record details

NPI number1437415692
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 2, 2012
Last updated in NPPESSeptember 6, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2012 (14 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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