Shannon Renee Edwards, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN459645 Issued in OH

Practice address

1120 Dunaway St
Miamisburg, OH 45342-3839

Phone

(937) 866-9089

NPI assigned

Nov 2, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1124735865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 ARBOR CT",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450448855",
            "telephone_number": "513-567-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 DUNAWAY ST",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423839",
            "telephone_number": "937-866-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "SHANNON",
        "middle_name": "RENEE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN459645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin Dupree
• Katherine E Dyas, LSW
• Taylor Ann East, LISW
• Gregory Mark Eberhart, MD
• Ec Opco Washington Township, LLC
• Iqra Effendi, MD, MSC
• Egbe Egiebor, MD PHD
• Bridget Deetta Eichenberg, MSN, PMHNP
• Branden Michael Eikenberry
• Madelyn Eisenhour, RBT

• Registered Nurse in Miamisburg, OH
• Providers in Miamisburg, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.