Kayla Marie Shane, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.0028812 Issued in OH

Practice address

3496 Snouffer Rd Ste 1
Columbus, OH 43235-5713

Phone

(614) 578-9868

NPI assigned

Feb 22, 2021

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Practitioner

State licenses

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1437743309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3496 SNOUFFER RD STE 1",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355713",
            "telephone_number": "614-578-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3496 SNOUFFER RD STE 1",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355713",
            "telephone_number": "614-578-9868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 Grandview Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432151123",
            "country_code": "US",
            "telephone_number": "614-437-9002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANE",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0028812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdecaminda@grandviewprimarycare.com",
            "affiliation": "Y",
            "endpointDescription": "Practice Fusion",
            "affiliationName": "Hayden Run Internal Medicine",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "833 Grandview Ave",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432151123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kayla.shane.rn@gmail.com",
            "affiliation": "N",
            "endpointDescription": "TigerConnect",
            "address_1": "3496 Snouffer Rd Ste 1",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432355713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aroub Y Shanaah, MD
• Eyas Shanaah
• Donald Duane Shanabarger Jr., RN
• Kate Parks Shane-Carson, MS, LGC
• Chelsea Shane
• Kelly Shane
• Joclyn Shaner
• Qingguo Shang, O.M.D., LIC. AC.
• Elizabeth Ann Shank, OD
• Divya Shankar

• Family Nurse Practitioner in Columbus, OH
• Providers in Columbus, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.