Active NPI
Shannon Irish
- Family Nurse Practitioner
- Maysville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4021528
- Practice address
- 4245 Pleasant Ridge Rd
Maysville, KY 41056-8601 - Phone
- (606) 584-1224
- NPI assigned
- Jun 3, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4021528 | KY | Primary |
Addresses
Primary practice location
4245 Pleasant Ridge Rd
Maysville, KY 41056-8601
Mailing address
4245 Pleasant Ridge Rd
Maysville, KY 41056-8601
Phone (606) 584-1224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Public SQ
Suite 2300
Cleveland, OH 44114-2309
Phone 44338393001055
2100 Millvale Rd
Louisville, KY 40205-1604
Phone (443) 383-9300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4021528 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consonant Healing Associates of de LLC | Current | Accepting new patients | |
| Healing Partners Plus PLLC | Current | Accepting new patients |
Locations
828 Lane Allen Rd
Ste 219
Lexington, KY 40504
3499 Blazer Pkwy
Ste 300
Lexington, KY 40509
Phone (859) 699-1803
2100 Cherokee Ridge Way
Louisville, KY 40205
Phone (502) 451-0990
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
200 Public Sq
Ste 2300
Cleveland, OH 44114
Phone (443) 483-9300
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1407697709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4245 PLEASANT RIDGE RD",
"city": "MAYSVILLE",
"state": "KY",
"postal_code": "410568601",
"telephone_number": "606-584-1224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4245 PLEASANT RIDGE RD",
"city": "MAYSVILLE",
"state": "KY",
"postal_code": "410568601",
"telephone_number": "606-584-1224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRISH",
"first_name": "SHANNON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-03",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "4021528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maysville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.