Individual provider Active NPI

Shontae Lanelle Howard, FNP

  • Family Nurse Practitioner
  • Englewood, OH
National Provider Identifier
1255531315
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.023231 Issued in OH
Practice address
12 W Wenger Rd Ste J
Englewood, OH 45322-2755
Phone
(937) 529-8085
Fax
(855) 299-2185
NPI assigned
Jul 18, 2007
Last updated
May 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN 347020 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.023231 OH Primary

Addresses

Primary practice location

12 W Wenger Rd Ste J
Englewood, OH 45322-2755

Mailing address

12 West Wenger Rd
Dayton, OH 45322

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240419002215 OH Practitioner - Nurse Practitioner 2961753033 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1323 W 3Rd St
Dayton, OH 45402-6714
Phone (937) 461-4336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN 347020OHMDRegistered Nurse
APRN.CNP.023231OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shontae L Howard Family CurrentSince Jan 31, 2024 Accepting new patients
Decoach Team LLC CurrentSince Apr 4, 2025 Accepting new patients
Theoria Medical CurrentSince Jul 26, 2024 Accepting new patients
Landmark Medical of Ohio Professional Corporation PastSince Apr 1, 2023 Accepting new patients
Decoach Team LLC PastSince Dec 3, 2023 Accepting new patients
Summit Medical Group, PLLC PastSince Apr 1, 2023 Accepting new patients

Locations

1620 Harrison Ave
Cincinnati, OH 45214
Phone 51374376281126

865 S Patterson Blvd
Dayton, OH 45402
Phone (937) 966-4673

2172 US Route 127 N
Eaton, OH 45320
Phone (937) 456-5811

12 W Wenger Rd
Ste J
Englewood, OH 45322
Phone (937) 239-5644

6570 Sosna Dr
Fairfield, OH 45014
Phone (513) 942-4673

717 S 30th St
Newark, OH 43056
Phone (740) 522-1171

100 Crowne Point Pl
Sharonville, OH 45241
Phone (513) 743-7628

1030 High St
Worthington, OH 43085
Phone (614) 876-7356

36 N Detroit St
Ste 105
Xenia, OH 45385
Phone (513) 942-4673

Interoperability endpoints

  • Direct secure messaging: ms_showar92@landmarkhealth-direct.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1255531315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WEST WENGER RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W WENGER RD STE J",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453222755",
            "telephone_number": "937-529-8085",
            "fax_number": "855-299-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "SHONTAE",
        "middle_name": "LANELLE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN 347020",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.023231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, OH

Sources for this page

Verify at the official NPI Registry.