Individual provider Active NPI

Shauna Louise Reed, PA-C

  • Medical Physician Assistant
  • Centerville, OH
National Provider Identifier
1386653756
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
50001856 Issued in OH
Practice address
7677 Yankee St Ste 140
Centerville, OH 45459-3475
Phone
(937) 454-9527
Fax
(937) 454-9532
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 50001856 OH Primary

Addresses

Primary practice location

7677 Yankee St Ste 140
Centerville, OH 45459-3475

Mailing address

7677 Yankee St Ste 140
Centerville, OH 45459-3475
Phone (937) 454-9527

Other practice location 1

1530 Needmore Rd
Ste 300
Dayton, OH 45414-3969
Phone (937) 277-4274

Other identifiers 1

IdentifierTypeStateIssuer
0067772MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sreed24349@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110725000270 OH Practitioner - Physician Assistant 5698943371 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Practice addresses (Care Compare)

3533 Southern Blvd
Suite 2200
Kettering, OH 45429-1264
Phone (937) 228-4126

3535 Pentagon Blvd
Beavercreek, OH 45431-1705

3535 Pentagon Park Blvd
Suite 400
Dayton, OH 45431-1705
Phone (937) 490-2264

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8646

4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309

4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50001856OHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc CurrentSince Jul 1, 2011 Accepting new patients
Premier Health Specialists Inc CurrentSince Jan 16, 2012 Accepting new patients
Alliance Physicians Inc CurrentSince Jul 1, 2011 Accepting new patients
Premier Health Specialists Inc CurrentSince Jan 16, 2012 Accepting new patients
The Dayton Heart Center, Inc. Past Accepting new patients

Locations

3535 Pentagon Blvd
Ste 320
Beavercreek, OH 45431
Phone (937) 490-2270

7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891

1530 Needmore Rd
Ste 300
Dayton, OH 45414
Phone (937) 208-6745

1380 E Stroop Rd
Kettering, OH 45429
Phone (937) 293-3486

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

3533 Southern Blvd
Ste 3550
Kettering, OH 45429
Phone (937) 610-1915

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

7677 Yankee St
Ste 140
Washington Township, OH 45459
Phone (866) 224-9472

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

1141 N Monroe Dr
Xenia, OH 45385
Phone (937) 352-2000

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1386653756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7677 YANKEE ST STE 140",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454593475",
            "telephone_number": "937-454-9527",
            "fax_number": "937-454-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7677 YANKEE ST STE 140",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454593475",
            "telephone_number": "937-454-9527",
            "fax_number": "937-454-9532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1530 Needmore Rd",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454143969",
            "country_code": "US",
            "telephone_number": "937-277-4274",
            "fax_number": "937-277-8476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "SHAUNA",
        "middle_name": "LOUISE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50001856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0067772",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sreed24349@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "7677 Yankee St Ste 140",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454593475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "7677 Yankee St Ste 140",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454593475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.