Katrina Rae Shanesy, CNP

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

COA.18931-NP Issued in OH

Practice address

3333 Burnet Ave
MLC 1013
Cincinnati, OH 45229-3026

Phone

(513) 636-4466

Fax

(513) 636-5846

NPI assigned

Jan 29, 2016

Last updated

Sep 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katrina Rae Adkins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1427416999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE",
            "address_2": "MLC 1013",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026",
            "telephone_number": "513-636-4466",
            "fax_number": "513-636-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE",
            "address_2": "MLC 1013",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026",
            "telephone_number": "513-636-4466",
            "fax_number": "513-636-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANESY",
        "first_name": "KATRINA",
        "middle_name": "RAE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "OH",
            "license": "COA.18931-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "ADKINS",
            "middle_name": "RAE",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pirouz Shamszad, M.D.
• Pratima Ramesh Shanbhag, M.D.
• Thomas Andrew Shands Jr., MD, JD
• Anna Catherine Shane, COTA/L
• Michael S. W. Shane, DDS
• Reed A Shank, MD
• Mary Kay Shankland
• Emmily Laurette Shanks, DO
• Susan Louise Shanks, CDCA
• Dean J Shanley, DO

• Neonatal Nurse Practitioner in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Neonatal Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.