Active NPI
Joanna F Shaw, CNP
- Nurse Practitioner
- Sylvania, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 19262
- Practice address
- 5308 Harroun Rd
# 155
Sylvania, OH 43560-2193 - Phone
- (419) 824-6100
- Fax
- (419) 841-7735
- NPI assigned
- Jun 20, 2016
- Last updated
- Nov 3, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 19262 | OH | Primary |
Addresses
Primary practice location
5308 Harroun Rd
# 155
Sylvania, OH 43560-2193
Mailing address
1 Seagate
# 800
Toledo, OH 43604-1558
Phone (567) 585-1969
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jshaw36454@epicdirect.promedica.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Toledo College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2901 N Reynolds Rd
Toledo, OH 43606
Phone (419) 578-7700
5308 Harroun Rd
Sylvania, OH 43560-2174
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19262 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Central Physicians | Nurse Practitioner | Current | Accepting new patients |
| Promedica Central Physicians | Current | Accepting new patients |
Locations
5308 Harroun Rd
Ste 155
Sylvania, OH 43560
Phone (419) 824-6100
1 Seagate
#800
Toledo, OH 43604
Phone (567) 585-1964
100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964
2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112
Interoperability endpoints
- jshaw36454@direct.promedica.org
- jshaw36454@epicdirect.promedica.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Matrix Medical Network
- Nurse Practitioner
- Nashville, TN
- NPI 1619368842
OH
-
dba ProMedica Physicians Durable Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Toledo, OH
- NPI 1669068482
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oregon, OH
- NPI 1598765539
-
dba Mercy Health St Vincent Medical Center
- General Acute Care Hospital
- Toledo, OH
- NPI 1467493551
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1225488380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SEAGATE",
"address_2": "# 800",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436041558",
"telephone_number": "567-585-1969",
"fax_number": "419-824-7359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5308 HARROUN RD",
"address_2": "# 155",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435602193",
"telephone_number": "419-824-6100",
"fax_number": "419-841-7735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "JOANNA",
"middle_name": "F",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-20",
"last_updated": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "19262",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jshaw36454@epicdirect.promedica.org",
"affiliation": "N",
"address_1": "100 Madison Ave",
"city": "Toledo",
"state": "OH",
"country_code": "US",
"postal_code": "436041516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Sylvania, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.