Kimberly A Shupp, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN-090353 Issued in OH

Practice address

532 Maxwell Ave
Cincinnati, OH 45219-2408

Phone

(513) 559-2000

NPI assigned

Sep 26, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly A Lahmann Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1316197213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 TOWNSEN PL",
            "city": "TRENTON",
            "state": "OH",
            "postal_code": "450678624",
            "telephone_number": "513-623-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 MAXWELL AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192408",
            "telephone_number": "513-559-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUPP",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN-090353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "LAHMANN",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Mark Shumrick, MD
• Kevin Shumrick, MD
• Patrick L Shumrick, DPT
• Margery J Shupe, EDD, LPCC
• Malcolm Shupeck, MD
• Lori Shutter
• Breanna Shy-Ganzy
• Rushyal Shyamraj, M.D., MHSA
• George Theodore Shybut, M.D.
• Bernadette Sia, MD

• Licensed Practical Nurse in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.