Kaela Danae Shirey, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.187175 Issued in OH

Practice address

2266 Wakefield Mound Rd
Piketon, OH 45661-9660

Phone

(516) 343-2772

Fax

(740) 529-0553

NPI assigned

Nov 13, 2023

Last updated

Nov 13, 2023By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1376317107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 LINWOOD PLZ STE 303",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070243701",
            "telephone_number": "516-343-2772",
            "fax_number": "740-529-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2266 WAKEFIELD MOUND RD",
            "city": "PIKETON",
            "state": "OH",
            "postal_code": "456619660",
            "telephone_number": "516-343-2772",
            "fax_number": "740-529-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIREY",
        "first_name": "KAELA",
        "middle_name": "DANAE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.187175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Scott
• Sean Stiltner, D.O.,LLC
• Amber Self
• Tracy Selvage, CDCA
• Kelly Sheets
• Amber Silcott
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• Patricia Ann Slee
• Keirsten Smith, QMHS
• Southern Ohio Applied Behavior Center LLC

• Licensed Practical Nurse in Piketon, OH
• Providers in Piketon, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.

Verify at the official NPI Registry.