Individual provider Active NPI

Nancy M, Sheiner, R.N., M.S.N.

  • Pediatric Registered Nurse
  • Roseburg, OR
National Provider Identifier
1356781058
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Registered NurseTaxonomy code 163WP0200X
License
096006202RN Issued in OR
Practice address
2156 Colonial Rd
Roseburg, OR 97471-9795
Phone
(541) 784-7734
Fax
(541) 673-3545
NPI assigned
Jun 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X 096006202RN OR Primary

Addresses

Primary practice location

2156 Colonial Rd
Roseburg, OR 97471-9795

Mailing address

2156 Colonial Rd
Roseburg, OR 97471-9795
Phone (541) 784-7734

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
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
096006202RNORMDPediatric Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1356781058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2156 COLONIAL RD",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974719795",
            "telephone_number": "541-784-7734",
            "fax_number": "541-673-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2156 COLONIAL RD",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974719795",
            "telephone_number": "541-784-7734",
            "fax_number": "541-673-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEINER",
        "first_name": "NANCY",
        "middle_name": "M,",
        "name_prefix": "Mrs.",
        "credential": "R.N., M.S.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "OR",
            "license": "096006202RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.