Individual provider Active NPI

Rhonda Shryock, CNP

  • Family Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1063827400
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.16075-NP Issued in OH
Practice address
3830 Woodley Rd Ste B
Toledo, OH 43606-1177
Phone
(419) 473-9380
NPI assigned
Jun 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.16075-NP OH Primary

Addresses

Primary practice location

3830 Woodley Rd Ste B
Toledo, OH 43606-1177

Mailing address

4235 Secor Rd
Toledo, OH 43623-4231
Phone (419) 479-5327

Other identifiers 1

IdentifierTypeStateIssuer
0115288MedicaidOH

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
I20150127000684 OH Practitioner - Nurse Practitioner 4981928744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toledo Clinic IncorporatedGroup PAC ID 5698673382, 204 clinicians

Practice addresses (Care Compare)

3922 Woodley Rd
Suite 200
Toledo, OH 43606-1168
Phone (419) 473-9380

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.16075-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Toledo Clinic Incorporated CurrentSince May 18, 2021 Accepting new patients
Toledo Clinic Incorporated CurrentSince May 18, 2021 Accepting new patients
Toledo Clinic Incorporated Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

5200 Harroun Rd
Sylvania, OH 43560
Phone (419) 824-1305

3830 Woodley Rd
Ste B
Toledo, OH 43606
Phone (419) 473-9380

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

3922 Woodley Rd
Ste 200
Toledo, OH 43606
Phone (419) 473-9380

4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214

Organizations & group practices 4

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1063827400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234231",
            "telephone_number": "419-479-5327",
            "fax_number": "419-479-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 WOODLEY RD STE B",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061177",
            "telephone_number": "419-473-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRYOCK",
        "first_name": "RHONDA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.16075-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0115288",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.