Individual provider Active NPI

Susan Shalane Schoffner, RNC

  • Registered Nurse
  • Wapakoneta, OH
National Provider Identifier
1043583040
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
324088 Issued in OH
Practice address
15747 Belaire PL
Wapakoneta, OH 45895-9489
Phone
(419) 230-8047
NPI assigned
Feb 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 324088 OH Primary

Addresses

Primary practice location

15747 Belaire PL
Wapakoneta, OH 45895-9489

Mailing address

15747 Belaire PL
Wapakoneta, OH 45895
Phone (419) 230-8047

Other names 1

  • Mrs. Susan Shalane Schoffner Professional name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
324088OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1043583040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15747 BELAIRE PL",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "45895",
            "telephone_number": "419-230-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15747 BELAIRE PL",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458959489",
            "telephone_number": "419-230-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOFFNER",
        "first_name": "SUSAN",
        "middle_name": "SHALANE",
        "name_prefix": "Mrs.",
        "credential": "RNC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "324088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "SCHOFFNER",
            "middle_name": "SHALANE",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wapakoneta, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.