Michele R Shields, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN076979 Issued in OH

Practice address

311 Martin Luther King Dr E
Cincinnati, OH 45219-2581

Phone

(513) 475-5304

Fax

(513) 281-2530

NPI assigned

Apr 1, 2016

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

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1679936108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 MARTIN LUTHER KING DR E",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192581",
            "telephone_number": "513-475-5304",
            "fax_number": "513-281-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 MARTIN LUTHER KING DR E",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192581",
            "telephone_number": "513-475-5304",
            "fax_number": "513-281-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "MICHELE",
        "middle_name": "R",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN076979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shibumi, LLC
• Desiree Nicole Shields
• Donita Shields
• Katherine Elizabeth Shields, MS, LPC
• Luke Shields
• Natasha R Shields
• Orlantha Marea Shields, LPN
• Regina Shields, AUTHORIZED OFFICER
• Josie Shiff
• Hana Shigeki

• Licensed Practical Nurse in Cincinnati, OH
• Providers in Cincinnati, 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 Apr 1, 2016; 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.