Individual provider Active NPI

Shalah M Severt, CNP

  • Family Nurse Practitioner
  • Zanesville, OH
National Provider Identifier
1447275789
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0316054 Issued in OH
Practice address
716 Adair Ave
Zanesville, OH 43701-2843
Phone
(407) 891-9000
NPI assigned
Jul 13, 2006
Last updated
Feb 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F0316054 OH Primary
Registered Nurse 163W00000X RN368924 OH

Addresses

Primary practice location

716 Adair Ave
Zanesville, OH 43701-2843

Mailing address

1155 Corydon Dr
McConnelsville, OH 43756-9128
Phone (740) 297-0212

Other identifiers 1

IdentifierTypeStateIssuer
2294379MedicaidOH

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
I20230315001791 OH Practitioner - Nurse Practitioner 8325412299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Muskingum Valley Health CentersGroup PAC ID 4789760216, 74 clinicians

Practice addresses (Care Compare)

716 Adair Ave
Zanesville, OH 43701-2836
Phone (740) 891-9000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN368924OHMDRegistered Nurse
F0316054OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Muskingum Valley Health Centers Current Accepting new patients
Muskingum Valley Health Centers CurrentSince Dec 18, 2022 Accepting new patients
Muskingum Valley Health Centers CurrentSince Dec 18, 2022 Accepting new patients

Locations

1330 Clark St
Cambridge, OH 43725
Phone (740) 421-9530

406 S 15th St
Coshocton, OH 43812
Phone (740) 295-3331

859 N Main St
Malta, OH 43758
Phone (740) 962-6111

33 S 5th St
Zanesville, OH 43701
Phone (407) 891-9000

716 Adair Ave
Zanesville, OH 43701
Phone (740) 454-5239

Interoperability endpoints

  • Direct secure messaging: shalah.severt@mmhs.medicity.net

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1447275789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 CORYDON DR",
            "city": "MCCONNELSVILLE",
            "state": "OH",
            "postal_code": "437569128",
            "telephone_number": "740-297-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 ADAIR AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012843",
            "telephone_number": "407-891-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERT",
        "first_name": "SHALAH",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "F0316054",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN368924",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2294379",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.