Jennifer A Shah, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN-231005 Issued in OH

Practice address

6981 Breckenwood Dr
Dayton, OH 45424-7326

Phone

(937) 602-1636

Fax

(937) 528-2156

NPI assigned

May 2, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1467673889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7340 BRANDTVISTA AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454243331",
            "telephone_number": "937-602-1636",
            "fax_number": "937-528-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6981 BRECKENWOOD DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454247326",
            "telephone_number": "937-602-1636",
            "fax_number": "937-528-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OH",
            "license": "RN-231005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2644133",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob S Shaffer, PHARMD, RPH
• Nathan Michael Shaffer
• Steven Shaffer
• Whitney Allyson Shaffer, PHARM D., CDE
• Ami Piyush Shah, DO
• Kavita M Shah, D.D.S.
• Ketan S. Shah, MD
• Mousumee Shah, MD
• Nimit Shah
• Misbah Shahid

• Home Health Registered Nurse in Dayton, OH
• Providers in Dayton, OH by specialty
• Home Health Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.