Individual provider Active NPI

Ashley Marie Shea, CNP

  • Primary Care Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1013474436
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN.CNP.024288 Issued in OH
Practice address
3908 Miami Rd
Cincinnati, OH 45227-3705
Phone
(513) 760-5511
NPI assigned
Feb 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN.CNP.024288 OH Primary

Addresses

Primary practice location

3908 Miami Rd
Cincinnati, OH 45227-3705

Mailing address

3908 Miami Rd
Cincinnati, OH 45227-3705
Phone (513) 760-5511

Other identifiers 1

IdentifierTypeStateIssuer
APRN.CNP.024288OtherOHLICENSURE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230703001081 OH Order and Referring Only - Nurse Practitioner 7214362763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.024288OHMDPrimary Care Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: ashley.shea.1@25807.direct.athenahealth.com
  • Direct secure messaging: ashley.shea.1@24132.direct.athenahealth.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1013474436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 MIAMI RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452273705",
            "telephone_number": "513-760-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 MIAMI RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452273705",
            "telephone_number": "513-760-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "APRN.CNP.024288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "APRN.CNP.024288",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.