Sharis C Shabandari, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRNCNP022758 Issued in OH

Practice address

4975 Bradenton Ave
Dublin, OH 43017-3521

Phone

(614) 766-0773

Fax

(614) 766-2599

NPI assigned

Sep 28, 2018

Last updated

Sep 28, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ohio Sleep Medicine and Neuroscience Institute IncGroup PAC ID 4183528789, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sharis.shabandari.1@27770.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ohio Sleep Medicine and Neuroscience Institute, Inc.

  dba Ohio Sleep Medicine Institute

  • Specialist
  • Dublin, OH
  • NPI 1043397300
  Medicare reassignment Care Compare group NPD
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1053896795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4975 BRADENTON AVE",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173521",
            "telephone_number": "614-766-0773",
            "fax_number": "614-766-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4975 BRADENTON AVE",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173521",
            "telephone_number": "614-766-0773",
            "fax_number": "614-766-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABANDARI",
        "first_name": "SHARIS",
        "middle_name": "C",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRNCNP022758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "APRNCNP022758",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakshmi Seshadri
• Rashi Sethi, PHARMD
• Seva Dental Ohio LLC
• Lisa Sexton
• Nicholas Sgobbo, LCSW
• Rabihah Shabazz
• Carly Shackle
• Robert F Shadel, M.D.
• Kylie Nichole Shafer, COTA/L
• Angie Shaffer

• Family Nurse Practitioner in Dublin, OH
• Providers in Dublin, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.