Active NPI
Latonya R Shoulders
- Nurse Practitioner
- Kent, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN.CNP.024294
- Practice address
- 5361 Mallard Cir
Kent, OH 44240-5626 - Phone
- (216) 536-2991
- NPI assigned
- Mar 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN.CNP.024294 | OH | Primary |
Addresses
Primary practice location
5361 Mallard Cir
Kent, OH 44240-5626
Mailing address
5361 Mallard Cir
Kent, OH 44240-5626
Phone (216) 536-2991
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
Enrollment records 1
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)
1 Akron General Ave
Akron, OH 44307-2432
Phone (330) 344-6047
Hospital & facility affiliations
- Akron General Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.024294 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Integrated Health, LLC | Nurse Practitioner | Current | Accepting new patients |
| Akron General Medical Center | Current | Accepting new patients | |
| Akron General Medical Center | Current | Accepting new patients |
Locations
4125 Medina Rd
Ste 101
Akron, OH 44333
1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760
4127 Medina Rd
Ste 104
Akron, OH 44333
Phone (330) 344-6294
1940 Town Park Blvd
Green, OH 44685
Phone (330) 869-5010
914 Trailwood Dr
Youngstown, OH 44512
Phone (330) 758-6440
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Akron, OH
- NPI 1821035940
-
- Psychiatric Hospital Unit
- Akron, OH
- NPI 1700828712
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Akron, OH
- NPI 1821035940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552608000000",
"number": "1316406754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5361 MALLARD CIR",
"city": "KENT",
"state": "OH",
"postal_code": "442405626",
"telephone_number": "216-536-2991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5361 MALLARD CIR",
"city": "KENT",
"state": "OH",
"postal_code": "442405626",
"telephone_number": "216-536-2991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOULDERS",
"first_name": "LATONYA",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-15",
"last_updated": "2019-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "APRN.CNP.024294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kent, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.