Shatauna Boone, RN
Individual provider Active NPI Registered Nurse · Whitehall, OH
NPI 1124644075 · NPPES record last updated Apr 30, 2024
Key facts
- NPI
- 1124644075
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN.455798 (OH)
- Practice address
- 3768 E Main St
Whitehall, OH 43213-2925 - Phone
- (833) 510-4357
- NPI assigned
- Jun 16, 2020
- Sex
- Female
- Sole proprietor
- No
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.455798 | OH | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN.455798 | OH | |
| Registered Nurse | 163W00000X | RN.455798 | OH | Yes |
Addresses
Primary practice location
3768 E Main St
Whitehall, OH 43213-2925
Mailing address
4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (833) 510-4357
Other practice location 1
7070 Tomahawk Trl
Reynoldsburg, OH 43068-4806
Phone (614) 390-7714
Other providers in Whitehall, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2024. 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.