Individual provider Active NPI

Karla Shearer, APRN

  • Adult Health Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1366787962
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
COA 14328 Issued in OH
Practice address
7625 Camargo Rd Ste 200
Cincinnati, OH 45243-3107
Phone
(513) 528-8050
Fax
(513) 528-8151
NPI assigned
Dec 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X COA 14328 OH Primary

Addresses

Primary practice location

7625 Camargo Rd Ste 200
Cincinnati, OH 45243-3107

Mailing address

7625 Camargo Rd Ste 200
Cincinnati, OH 45243-3107
Phone (513) 528-8050

Other identifiers 1

IdentifierTypeStateIssuer
0086508MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA 14328OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Hospice of Dayton, Inc. CurrentSince Apr 15, 2013 Accepting new patients
Hospice of Southwest Ohio, Inc. PastSince Oct 1, 2020 Accepting new patients

Locations

7575 Paragon Rd
Dayton, OH 45459
Phone (937) 256-4490

2200 Miami Valley Dr
Dayton, OH 45459
Phone (937) 668-7873

324 Wilmington Ave
Kettering, OH 45420
Phone (937) 256-4490

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1366787962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 CAMARGO RD STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452433107",
            "telephone_number": "513-528-8050",
            "fax_number": "513-528-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 CAMARGO RD STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452433107",
            "telephone_number": "513-528-8050",
            "fax_number": "513-528-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEARER",
        "first_name": "KARLA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-07",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA 14328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0086508",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.