Individual provider Active NPI

Shina M Cauthen, APRN-CNP

  • Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1417415753
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.023916 Issued in OH
Practice address
1670 Upham Dr FL 3
Columbus, OH 43210-1250
Phone
(614) 293-9600
Fax
(614) 366-1215
NPI assigned
Mar 5, 2019
Last updated
May 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.023916 OH Primary
Family Nurse Practitioner 363LF0000X APRN.CNP.023916 OH

Addresses

Primary practice location

1670 Upham Dr FL 3
Columbus, OH 43210-1250

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-9600

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
I20190718002379 OH Practitioner - Nurse Practitioner 2264767839 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osu Psychiatry LLCGroup PAC ID 0749272714, 135 clinicians

Practice addresses (Care Compare)

1670 Upham Dr
Columbus, OH 43210-1250
Phone (614) 293-9600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.023916OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osu Psychiatry, LLC CurrentSince May 15, 2019 Accepting new patients
Osu Emergency Medicine LLC CurrentSince May 15, 2019 Accepting new patients
Ohio State University CurrentSince Oct 27, 2019 Accepting new patients

Locations

1670 Upham Dr
Columbus, OH 43210
Phone (614) 293-4540

1670 Upham Dr
Fl 3
Columbus, OH 43210

181 Taylor Ave
Columbus, OH 43203
Phone (614) 257-2358

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

Interoperability endpoints

  • Direct secure messaging: scauthen2744028@direct.bsmhealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1417415753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-293-9600",
            "fax_number": "614-366-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 UPHAM DR FL 3",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101250",
            "telephone_number": "614-293-9600",
            "fax_number": "614-366-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUTHEN",
        "first_name": "SHINA",
        "middle_name": "M",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.023916",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.023916",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.