Carla Kae Shaffer, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN105740 Issued in OH

Practice address

780 S Wiley St
Crestline, OH 44827-1762

Phone

(419) 566-6112

NPI assigned

Jul 20, 2010

Sex

Female

Sole proprietor

Yes

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": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1427361369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 S WILEY ST",
            "city": "CRESTLINE",
            "state": "OH",
            "postal_code": "448271762",
            "telephone_number": "419-566-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 S WILEY ST",
            "city": "CRESTLINE",
            "state": "OH",
            "postal_code": "448271762",
            "telephone_number": "419-566-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "CARLA",
        "middle_name": "KAE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN105740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy M Pope, R.N.
• James Leroy Saum
• Schaeferle & Schaeferle Family Dental Care
• Matthew Craig Schaeferle, D.M.D.
• Michael Andrew Semon, RPH
• Linda K Sharp, BCHS-ACA
• Tyler Scott Sipes
• Siraj a Siddiqui, MD
• Christine Marie Sloboda
• Crista Stull

• Licensed Practical Nurse in Crestline, OH
• Providers in Crestline, 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 Jul 20, 2010; 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.