Individual provider Active NPI

Vanessa Shanks

  • Neonatal-Perinatal Medicine Physician
  • Columbus, OH
National Provider Identifier
1629239330
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
35. 094553 Issued in OH
Practice address
700 Childrens Dr
Columbus, OH 43205-2664
Phone
(614) 722-4559
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35094553 OH
Neonatal-Perinatal Medicine Physician 2080N0001X 4061071 ID
Neonatal-Perinatal Medicine Physician 2080N0001X 35. 094553 OH Primary

Addresses

Primary practice location

700 Childrens Dr
Columbus, OH 43205-2664

Mailing address

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000

Other practice location 1

500 London Ave
Marysville, OH 43040-5512
Phone (937) 578-2284

Other practice location 2

1000 McKinley Park Dr
Marion, OH 43302-6399
Phone (740) 383-8400

Other practice location 3

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-4000

Other practice location 4

410 W 10th Ave
Columbus, OH 43210-1240
Phone (614) 293-8000

Other identifiers 1

IdentifierTypeStateIssuer
0128910MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vshanks795523@direct.multicare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, OH, ID, AZ4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20140822001565 DE Practitioner - Pediatric Medicine 3577786763 Reassigns benefits to 1 organization
I20151120000972 OH Practitioner - Pediatric Medicine 3577786763 Reassigns benefits to 1 organization
I20240917004352 ID Practitioner - Pediatric Medicine 3577786763 Reassigns benefits to 1 organization
I20241007001748 AZ Practitioner - Pediatric Medicine 3577786763 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35094553OHMDAnesthesiology Physician
4061071IDMDNeonatal-Perinatal Medicine Physician
35. 094553OHMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Academic Association, Inc. CurrentSince Oct 10, 2015 Accepting new patients
The Nemours Foundation CurrentSince Jun 28, 2014 Accepting new patients
Banner-University Medical Group CurrentSince Oct 1, 2024 Accepting new patients
Kootenai Health, Inc. Current Accepting new patients
The Nemours Foundation CurrentSince Jun 28, 2014 Accepting new patients
Banner-University Medical Group Anesthesiology CurrentSince Oct 1, 2024 Accepting new patients
Banner - University Medical Center Tucson Campus LLC Past Accepting new patients
Nationwide Children'S Hospital Past Accepting new patients

Locations

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

1625 N Campbell Ave
Tucson, AZ 85719

1600 Rockland Rd
Wilmington, DE 19803

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

555 S 18th St
Columbus, OH 43205
Phone (614) 722-4554

Dept L289
Columbus, OH 43260

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

1000 McKinley Park Dr
Marion, OH 43302
Phone (740) 383-8400

500 London Ave
Marysville, OH 43040
Phone (740) 420-8451

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1629239330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-4559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 London Ave",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "OH",
            "postal_code": "430405512",
            "country_code": "US",
            "telephone_number": "937-578-2284",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 McKinley Park Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "OH",
            "postal_code": "433026399",
            "country_code": "US",
            "telephone_number": "740-383-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2003 Kootenai Health Way",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838146051",
            "country_code": "US",
            "telephone_number": "208-625-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 W 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432101240",
            "country_code": "US",
            "telephone_number": "614-293-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANKS",
        "first_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35094553",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "ID",
            "license": "4061071",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "OH",
            "license": "35. 094553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0128910",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vshanks795523@direct.multicare.org",
            "affiliation": "N",
            "address_1": "2003 Kootenai Health Way",
            "city": "Coeur D Alene",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838146051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.