Jonathon J Shea, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

17622830 Issued in WI

Practice address

4901 Tulip CT
Wausau, WI 54401-7605

Phone

(715) 574-5322

NPI assigned

Jul 20, 2011

Last updated

Jul 20, 2011By the provider in NPPES

Sex

Male

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

Credentials

Registered Nurse

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sound Health Home Care LLC

  • In Home Supportive Care Agency
  • Rothschild, WI
  • NPI 1124579115
  Authorized official Same address or phone

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1639467871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 N 2ND AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012817",
            "telephone_number": "715-219-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 TULIP CT",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544017605",
            "telephone_number": "715-574-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "JONATHON",
        "middle_name": "J",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "17622830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles L Shabino, MD
• Girish Jung Shah, MBBS
• Maghav Sharma, MD
• Rishabh Sharma, MD
• Shagun Sharma, MD
• Kandise L Sheahen, RN
• Nancy Shebuski, OD
• Rachel Nicole Sheldon, LMHC, LPC
• John Shepherd, MD
• Lori L Shepherd, MD

• Registered Nurse in Wausau, WI
• Providers in Wausau, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.