Danetta J Shupert

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

2929424 Issued in OH

Practice address

71 Over Dr
West Union, OH 45693-9203

Phone

(937) 544-2606

NPI assigned

Jul 13, 2009

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

Other identifiers 1

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": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247443200000",
    "number": "1144459041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 OVER DR",
            "city": "WEST UNION",
            "state": "OH",
            "postal_code": "456939203",
            "telephone_number": "937-544-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 OVER DR",
            "city": "WEST UNION",
            "state": "OH",
            "postal_code": "456939203",
            "telephone_number": "937-544-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUPERT",
        "first_name": "DANETTA",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2009-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "2929424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2929424",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawnee Mental Health Center, Inc.
• Kathryn Sheeley
• Paula Rose Shelton
• Vernon Lee Shively, LPN
• Angela M Shupert, MD
• John H Shupert, MD
• Courtney Elaine Sims, CDCA
• Maranda Slusher, LPN
• Rebecca Sue Smalley
• Charles Kalub Smith, CDCA, QBHS

• Home Health Aide in West Union, OH
• Providers in West Union, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; 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.