Active NPI
Martha Ann Sheldrick, CNP
- Family Nurse Practitioner
- Centerville, OH
National Provider Identifier
1447503933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA. 13944-NP
- Practice address
- 212 Walnut Grove Dr
Centerville, OH 45458 - Phone
- (937) 238-9557
- NPI assigned
- Oct 21, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | COA.13944-NP | OH | |
| Family Nurse Practitioner | 363LF0000X | COA. 13944-NP | OH | Primary |
Addresses
Primary practice location
212 Walnut Grove Dr
Centerville, OH 45458
Mailing address
212 Walnut Grove Dr
Centerville, OH 45458-4156
Phone (937) 238-9557
Other practice location 1
909 E 2nd St
Franklin, OH 45005-1700
Phone (937) 746-8357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0080279 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.13944-NP | OH | MD | Nurse Practitioner |
| COA. 13944-NP | OH | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537833600000",
"number": "1447503933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 WALNUT GROVE DR",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454584156",
"telephone_number": "937-238-9557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 WALNUT GROVE DR",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "45458",
"telephone_number": "937-238-9557"
}
],
"practiceLocations": [
{
"address_1": "909 E 2nd St",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "OH",
"postal_code": "450051700",
"country_code": "US",
"telephone_number": "937-746-8357",
"fax_number": "937-746-1992",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHELDRICK",
"first_name": "MARTHA",
"middle_name": "ANN",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-21",
"last_updated": "2018-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "COA.13944-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA. 13944-NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0080279",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.