Shyana Matheny, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

400201 Issued in OH

Practice address

12291 Burton Hill Rd
Glouster, OH 45732-2506

Phone

(740) 304-7030

NPI assigned

Jul 17, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1093553695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12291 BURTON HILL RD",
            "city": "GLOUSTER",
            "state": "OH",
            "postal_code": "457322506",
            "telephone_number": "740-304-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12291 BURTON HILL RD",
            "city": "GLOUSTER",
            "state": "OH",
            "postal_code": "457322506",
            "telephone_number": "740-304-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHENY",
        "first_name": "SHYANA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "400201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Jones
• Michelle Lynn Keith, LPN
• Tonya Renee Kittle, NP-C
• Kirsten Knight, PA-C
• Barbara Nanette Malone, L.P.N
• Katie Montgomery
• Patient Care Ohio LLC
• Jackie R Patton, RN
• Rachel Renee Sayers, RN
• Christopher Schrader

• All providers in Glouster, OH
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.