Active NPI
Shari M Kehres, RN, MSN, CPNP
- Nurse Practitioner
- Mason, OH
National Provider Identifier
1649304262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN.CNP.06121
- Practice address
- 9600 Children Dr BLDG D
Mason, OH 45040-6791 - Phone
- (513) 336-6700
- Fax
- (513) 398-2109
- NPI assigned
- Mar 15, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | NP-06121 | OH | |
| Nurse Practitioner | 363L00000X | APRN.CNP.06121 | OH | Primary |
Addresses
Primary practice location
9600 Children Dr BLDG D
Mason, OH 45040-6791
Mailing address
9600 Children Dr BLDG D
Mason, OH 45040-6791
Phone (513) 336-6700
Other practice location 1
608 Reading Rd Ste D
Mason, OH 45040-1561
Phone (513) 398-3900
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 Practitioner, Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP-06121 | OH | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Muddy Creek Pediatrics LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Mason, OH
- NPI 1417081092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610323200000",
"number": "1649304262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9600 CHILDREN DR BLDG D",
"city": "MASON",
"state": "OH",
"postal_code": "450406791",
"telephone_number": "513-336-6700",
"fax_number": "513-398-2109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 CHILDREN DR BLDG D",
"city": "MASON",
"state": "OH",
"postal_code": "450406791",
"telephone_number": "513-336-6700",
"fax_number": "513-398-2109"
}
],
"practiceLocations": [
{
"address_1": "608 Reading Rd Ste D",
"address_purpose": "LOCATION",
"city": "Mason",
"state": "OH",
"postal_code": "450401561",
"country_code": "US",
"telephone_number": "513-398-3900",
"fax_number": "513-398-4950",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEHRES",
"first_name": "SHARI",
"middle_name": "M",
"credential": "RN, MSN, CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2021-01-11",
"certification_date": "2021-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OH",
"license": "NP-06121",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "APRN.CNP.06121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.