Diana M Shanks, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.074149.MEDS Issued in OH

Practice address

841 Steubenville Ave
Cambridge, OH 43725-2301

Phone

(855) 692-7247

NPI assigned

Oct 5, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Cedar Ridge Behavioral Health Solutions LLC

  • Community/Behavioral Health Agency
  • Cambridge, OH
  • NPI 1063779460
  NPD
• Cedar Ridge Behavioral Health Solutions

  • Community/Behavioral Health Agency
  • Cambridge, OH
  • NPI 1447769666
  NPD (past)

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1528848652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 STEUBENVILLE AVE",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437252301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 STEUBENVILLE AVE",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437252301",
            "telephone_number": "855-692-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKS",
        "first_name": "DIANA",
        "middle_name": "M",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.074149.MEDS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maeve Ingrid Scott
• Melanie Sue Scurlock, LPN LICENSED PRACTIC
• Brooklynne M Seckman
• Jennifer Michelle Segner, DPT
• Alexis Shafer
• Shared Pet Imaging LLC
• Dubai Shashiashvili, DO
• Brenda Shepherd
• Cari Shoop
• Tori Shuman

• Licensed Practical Nurse in Cambridge, OH
• Providers in Cambridge, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.