Shawna Louise Roos, RN
Individual provider Active NPI Registered Nurse · Somerville, OH
NPI 1033329909 · NPPES record last updated Mar 25, 2016
Key facts
- NPI
- 1033329909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN 377630 (OH)
- Practice address
- 1191 Somerville Jacksonburg Rd
Somerville, OH 45064-9402 - Phone
- (513) 726-0013
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 377630 | OH | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN 377630 | OH | Yes |
Addresses
Primary practice location
1191 Somerville Jacksonburg Rd
Somerville, OH 45064-9402
Mailing address
1191 Somerville Jacksonburg Rd
Somerville, OH 45064-9402
Phone (513) 726-0013
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2358443 | Medicaid | OH |
Other providers in Somerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.