Joanna Shady, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

2472058 Issued in MN

Practice address

60 Himango Rd
Esko, MN 55733-9523

Phone

(218) 390-2374

NPI assigned

Feb 15, 2020

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

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

{
    "created_epoch": "1581724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581724800000",
    "number": "1285267484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 HIMANGO RD",
            "city": "ESKO",
            "state": "MN",
            "postal_code": "557339523",
            "telephone_number": "218-390-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 HIMANGO RD",
            "city": "ESKO",
            "state": "MN",
            "postal_code": "557339523",
            "telephone_number": "218-390-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADY",
        "first_name": "JOANNA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-15",
        "last_updated": "2020-02-15",
        "certification_date": "2020-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "2472058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Leff, OTR/L
• Deri L Lund
• Jamie Nicole McDonald, OTR
• Jana Dale Olson, SLP
• Ashley I Omar, OTR/L
• Roopali Sharma, DDS
• Joanne Carla Smith, M.D.
• Jodene Syrjanen
• Taylor Walling, LGSW
• Jody M Zeleznikar, SLP

• All providers in Esko, MN
• Home Health Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2020; 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.