Active NPI
Shauna Marie Zerhusen, CNM
- Nurse Practitioner
- Edgewood, KY
National Provider Identifier
1508813908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3002899
- Practice address
- 20 Medical Village Drive Suite 354
Attn. Beverly Meyer
Edgewood, KY 41017 - Phone
- (859) 331-4665
- Fax
- (859) 331-6370
- NPI assigned
- May 30, 2006
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN1044608 | KY | |
| Nurse Practitioner | 363L00000X | 3002899 | KY | Primary |
| Advanced Practice Midwife | 367A00000X | CNM2899M | KY | |
| Advanced Practice Midwife | 367A00000X | 10374 | KY | |
| Advanced Practice Midwife | 367A00000X | COA.04214-NM | OH |
Addresses
Primary practice location
20 Medical Village Drive Suite 354
Attn. Beverly Meyer
Edgewood, KY 41017
Mailing address
20 Medical Village Drive Suite 354
Attn. Beverly Meyer
Edgewood, KY 41017
Phone (859) 331-4665
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78010543 | Medicaid | KY | |
| 2284166 | Medicaid | OH | |
| P00985237 | Other | KY | RAILROAD MEDICARE |
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 Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1044608 | KY | MD | Registered Nurse |
| 3002899 | KY | MD | Nurse Practitioner |
| 10374 | KY | MD | Advanced Practice Midwife |
| CNM2899M | KY | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Obstetrics and Gynecology Group, Inc. | Past | Accepting new patients | |
| St. Luke Hospitals Inc | Nurse Practitioner | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Fort Thomas, KY
- NPI 1902910987
Nurse Practitioner
-
- Obstetrics & Gynecology Physician
- Cincinnati, OH
- NPI 1649377904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410393600000",
"number": "1508813908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 MEDICAL VILLAGE DRIVE SUITE 354",
"address_2": "ATTN. BEVERLY MEYER",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "41017",
"telephone_number": "859-331-4665",
"fax_number": "859-331-6370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 MEDICAL VILLAGE DRIVE SUITE 354",
"address_2": "ATTN. BEVERLY MEYER",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "41017",
"telephone_number": "859-331-4665",
"fax_number": "859-331-6370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZERHUSEN",
"first_name": "SHAUNA",
"middle_name": "MARIE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-30",
"last_updated": "2014-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KY",
"license": "RN1044608",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3002899",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "KY",
"license": "CNM2899M",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "KY",
"license": "10374",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "OH",
"license": "COA.04214-NM",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78010543",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2284166",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00985237",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edgewood, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.