Individual provider Active NPI

Shantay Lynn Furrow, NP

  • Family Nurse Practitioner
  • Troy, OH
National Provider Identifier
1235650383
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
021117 Issued in OH
Practice address
512 Crescent Dr
Troy, OH 45373
Phone
(937) 335-7161
NPI assigned
Jun 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 021117 OH Primary

Addresses

Primary practice location

512 Crescent Dr
Troy, OH 45373

Mailing address

512 Crescent Dr
Troy, OH 45373-2718

Other practice location 1

885 Union Blvd
Englewood, OH 45322-2102
Phone (937) 832-4091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, UT, ID, IL, MI, CA, MA, FL8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20170720003290 OH Practitioner - Nurse Practitioner 2264702489 Reassigns benefits to 2 organizations
I20230214002611 UT Practitioner - Nurse Practitioner 2264702489 Reassigns benefits to 1 organization
I20230913002901 ID Practitioner - Nurse Practitioner 2264702489 Reassigns benefits to 1 organization
I20240430001891 IL Practitioner - Nurse Practitioner 2264702489 Reassigns benefits to 1 organization
I20240531003339 MI Practitioner - Nurse Practitioner 2264702489 Reassigns benefits to 1 organization
I20240618002639 CA Practitioner - Nurse Practitioner 2264702489 Reassigns benefits to 2 organizations
I20240620003921 MA Practitioner - Nurse Practitioner 2264702489 Reassigns benefits to 1 organization
I20240717001467 FL Practitioner - Nurse Practitioner 2264702489 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Ohio ENT Specialists Inc CurrentSince Jun 15, 2019 Accepting new patients
Molina Healthcare of California CurrentSince May 31, 2024 Accepting new patients
Universal Care CurrentSince Nov 1, 2024 Accepting new patients
Molina Healthcare of Utah Inc Family CurrentSince Nov 4, 2022 Accepting new patients
Central Health Plan of California, Inc. CurrentSince Nov 1, 2024 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

1222 S Patterson Blvd
Ste 400
Dayton, OH 45402
Phone (937) 496-2600

7050 S Union Park Ave
Ste 200
Midvale, UT 84047
Phone (562) 549-3966

Interoperability endpoints

  • Direct secure messaging: sfurrow14155@direct-prd.molinahealthcare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HDIFCD
  • FHIR API: https://epicproxy.et1057.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1235650383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 CRESCENT DR",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 CRESCENT DR",
            "city": "TROY",
            "state": "OH",
            "postal_code": "45373",
            "telephone_number": "937-335-7161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "885 Union Blvd",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "453222102",
            "country_code": "US",
            "telephone_number": "937-832-4091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FURROW",
        "first_name": "SHANTAY",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "021117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

Verify at the official NPI Registry.