Shantel Rene Witherspoon, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN.469308 Issued in OH

Practice address

3351 Red Coach Dr
Springfield, OH 45503-1201

Phone

(937) 830-5411

NPI assigned

Aug 1, 2022

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spirit Nurse Creations

  • Home Health Agency
  • Springfield, OH
  • NPI 1356203384
  NPD Authorized official

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1154057149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 RED COACH DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455031201",
            "telephone_number": "937-830-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 RED COACH DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455031201",
            "telephone_number": "937-830-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHERSPOON",
        "first_name": "SHANTEL",
        "middle_name": "RENE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.469308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Wion, STNA
• Jaime Wirth
• Chloe Wise, PA-C
• Robert William Wisenberger Jr., RN
• Tyler Wisse
• Peter B Wittstein, MD
• Jeffrey E Wolf, LDO
• Scott Thomas Wolf, O.D.
• Carrie Wolfe
• Ronald E Wollum III, PAC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.