Mary Kay Shankland

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

APS.003909 Issued in OH

Practice address

12115 Sheraton LN
Cincinnati, OH 45246-1613

Phone

(513) 757-5000

NPI assigned

Mar 20, 2023

Last updated

Mar 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1679275184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12115 SHERATON LN",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452461613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12115 SHERATON LN",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452461613",
            "telephone_number": "513-757-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKLAND",
        "first_name": "MARY",
        "middle_name": "KAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.003909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Andrew Shands Jr., MD, JD
• Anna Catherine Shane, COTA/L
• Michael S. W. Shane, DDS
• Katrina Rae Shanesy, CNP
• Reed A Shank, MD
• Emmily Laurette Shanks, DO
• Susan Louise Shanks, CDCA
• Dean J Shanley, DO
• Shreenivasan Shanmugam, MD
• Alexis Shannon

• Peer Specialist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Peer Specialist in Ohio

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