Active NPI
Shawnrica White, CASE MANAGER
- Case Manager/Care Coordinator
- Dayton, OH
National Provider Identifier
1376128389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2611 Wayne Ave BLDG 61
Dayton, OH 45420-1833 - Phone
- (937) 228-0579
- NPI assigned
- Mar 11, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-21-159349 | OH | |
| Case Manager/Care Coordinator | 171M00000X | OH | Primary |
Addresses
Primary practice location
2611 Wayne Ave BLDG 61
Dayton, OH 45420-1833
Mailing address
6400 E Broad St FL 4
Columbus, OH 43213-2086
Phone (614) 655-3345
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-21-159349 | OH | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mahajan Therapeutics, LLC | Past | Accepting new patients | |
| Mahajan Therapeutics, LLC | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Dayton, OH
- NPI 1669531810
-
- Community/Behavioral Health Agency
- Portsmouth, OH
- NPI 1952734469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1376128389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 E BROAD ST FL 4",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432132086",
"telephone_number": "614-655-3345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 WAYNE AVE BLDG 61",
"city": "DAYTON",
"state": "OH",
"postal_code": "454201833",
"telephone_number": "937-228-0579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "SHAWNRICA",
"credential": "CASE MANAGER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-11",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OH",
"license": "RBT-21-159349",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.