Shannon Dawn Spurlock, LPN

Individual provider Active NPI Licensed Practical Nurse · Elsmere, KY

NPI 1003740911 · NPPES record last updated Jun 9, 2026

Key facts

NPI
1003740911
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
2043127 (KY)
Practice address
4135 Dixie Hwy
Elsmere, KY 41018-1815
Phone
(833) 510-4357
Fax
(866) 460-2997
NPI assigned
Jun 9, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 2043127 KY Yes

Addresses

Primary practice location

4135 Dixie Hwy
Elsmere, KY 41018-1815

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (833) 510-4357

Other names

  • Shannon Dawn Smith Former name

Other providers in Elsmere, KY

All providers in Elsmere, KY · Licensed Practical Nurse in Kentucky

Sources for this page

Verify at the official NPI Registry.