Shannon Leeanne Circle

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

118 W 1St St Ste 300
Dayton, OH 45402-1111

Phone

(937) 223-5201

NPI assigned

Jan 30, 2020

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

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

University of Cincinnati College of Medicine, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Five Rivers Health Centers

  • Family Medicine Physician
  • Dayton, OH
  • NPI 1669143061
  Medicare reassignment
• Five Rivers Health Centers

  • Family Medicine Physician
  • Xenia, OH
  • NPI 1083501415
  NPD
• Five Rivers Health Centers

  • Internal Medicine Physician
  • Dayton, OH
  • NPI 1356721286
  NPD
• Young Men'S Christian Association of Greater Dayton

  • Health Educator
  • Springboro, OH
  • NPI 1366999518
  NPD (past)

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1376174045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4841 HARLOU DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454321620",
            "telephone_number": "937-344-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W 1ST ST STE 300",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454021111",
            "telephone_number": "937-223-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRCLE",
        "first_name": "SHANNON",
        "middle_name": "LEEANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph L Cimoch, LPCC-S
• Courtney Marie Cinko, M.D.
• Circle of Care HHC LLC
• Circle of Peace, LLC
• Julia Kathleen Circle, PA-C
• Cirrus Concept Consulting, Inc.
• Cirrus Concept Design, LLC.
• City of Dayton
• City of Oakwood
• City of Riverside

• Health Educator in Dayton, OH
• Providers in Dayton, OH by specialty
• Health Educator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.