Individual provider Active NPI

Connie Lynn Sheeter

  • Licensed Practical Nurse
  • Wooster, OH
National Provider Identifier
1437869435
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN-126065 Issued in OH
Practice address
5080 Mono Dr
Wooster, OH 44691-9537
Phone
(330) 317-6087
NPI assigned
Nov 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN-126065 OH Primary

Addresses

Primary practice location

5080 Mono Dr
Wooster, OH 44691-9537

Mailing address

5080 Mono Dr
Wooster, OH 44691-9537
Phone (330) 317-6087

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address connie.sheeter@va.gov Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPN-126065OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1437869435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 MONO DR",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446919537",
            "telephone_number": "330-317-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 MONO DR",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446919537",
            "telephone_number": "330-317-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEETER",
        "first_name": "CONNIE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN-126065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "connie.sheeter@va.gov",
            "affiliation": "N",
            "endpointDescription": "secured messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "messages",
            "address_1": "5080 Mono Dr",
            "city": "Wooster",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446919537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.