Active NPI
Carol McShane, RN, MSN
- Case Management Registered Nurse
- Charlestown, NH
National Provider Identifier
1124741152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 055672-21
- Practice address
- 457 Calavant Hill Rd
Charlestown, NH 03603 - Phone
- (603) 505-8120
- NPI assigned
- Sep 23, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 055672-21 | NH | |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 055672-21 | NH | |
| Case Management Registered Nurse | 163WC0400X | 055672-21 | NH | Primary |
Addresses
Primary practice location
457 Calavant Hill Rd
Charlestown, NH 03603
Mailing address
457 Calavant Hill Rd
Charlestown, NH 03603
Phone (603) 505-8120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 055672-21 | Other | NH | NH RN LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055672-21 | NH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1124741152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "457 CALAVANT HILL RD",
"city": "CHARLESTOWN",
"state": "NH",
"postal_code": "03603",
"telephone_number": "603-505-8120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "457 CALAVANT HILL RD",
"city": "CHARLESTOWN",
"state": "NH",
"postal_code": "03603",
"telephone_number": "603-505-8120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCSHANE",
"first_name": "CAROL",
"credential": "RN, MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-23",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NH",
"license": "055672-21",
"primary": false
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "NH",
"license": "055672-21",
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "NH",
"license": "055672-21",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NH RN LICENSE",
"identifier": "055672-21",
"state": "NH"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Google",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "457 Calavant Hill Rd",
"city": "Charlestown",
"state": "NH",
"country_code": "US",
"postal_code": "03603",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Charlestown, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.