Individual provider Active NPI

Shawanna Lynn Musick-Heid, RN

  • Administrator Registered Nurse
  • Lisbon, OH
National Provider Identifier
1245010602
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
RN327163 Issued in OH
Practice address
8473 County Home Rd
Lisbon, OH 44432-9418
Phone
(330) 424-4065
Fax
(330) 420-0118
NPI assigned
Oct 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X RN327163 OH Primary

Addresses

Primary practice location

8473 County Home Rd
Lisbon, OH 44432-9418

Mailing address

3175 Norse Rd NE # Nee
Salineville, OH 43945-9427
Phone (330) 447-0953

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN327163OHMDAdministrator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1245010602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3175 NORSE RD NE # NEE",
            "city": "SALINEVILLE",
            "state": "OH",
            "postal_code": "439459427",
            "telephone_number": "330-447-0953",
            "fax_number": "330-420-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8473 COUNTY HOME RD",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444329418",
            "telephone_number": "330-424-4065",
            "fax_number": "330-420-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSICK-HEID",
        "first_name": "SHAWANNA",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "OH",
            "license": "RN327163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisbon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.