Keilah Shumaker, ED.S.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

SP00647 Issued in OH

Practice address

1930 Crown Park CT Ste 100
Columbus, OH 43235-2402

Phone

(614) 695-3747

NPI assigned

Aug 22, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Keilah Stevens Other name

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": "1408665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1386044618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3048 BREMEN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432244366",
            "telephone_number": "740-412-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 CROWN PARK CT STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432352402",
            "telephone_number": "614-695-3747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3048 Bremen St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432244366",
            "country_code": "US",
            "telephone_number": "740-412-7169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Lancaster Dr",
            "address_purpose": "LOCATION",
            "city": "Heath",
            "state": "OH",
            "postal_code": "430561220",
            "country_code": "US",
            "telephone_number": "740-788-3218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUMAKER",
        "first_name": "KEILAH",
        "name_prefix": "Mrs.",
        "credential": "ED.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-22",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "3089284",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "SP00647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEILAH",
            "last_name": "STEVENS",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sharon Shultz, PCC, LICDC
• Amanda Nicole Shumaker, CNP
• Angela Rose Shumaker
• Craig Shumaker, LCDCIII
• Erika Shumaker, M.A. CCC-SLP
• Mary K. Shumaker, R.N.
• Cameron Shuman
• Samantha Jo Shuman, PA-C
• Cierra Shumate
• Maria Shumway, OTRL

• School Psychologist in Columbus, OH
• Providers in Columbus, OH by specialty
• School Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.