Shanthi E Rubin, CNS

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

541329 Issued in TX

Practice address

4300 Allen Rd Ste 420
Stow, OH 44224-1032

Phone

(330) 344-1260

Fax

(330) 344-1190

NPI assigned

Oct 4, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: srubincns478659@direct.ccf.org

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.

• Partners Physician Group

  • Surgery Physician
  • Akron, OH
  • NPI 1841239274
  Medicare reassignment NPD
• Euclid Hospital Cleveland Clinic Health System

  dba cleveland clinic foundation

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1457403016
  NPD
• Partners Physician Group

  dba Community Access and Wellness - HWE

  • Public Health & General Preventive Medicine Physician
  • Akron, OH
  • NPI 1164814414
  NPD
• Partners Physician Group

  dba Canal Physician Group

  • Family Medicine Physician
  • Akron, OH
  • NPI 1548207111
  NPD (past)

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1699027482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 ALLEN RD STE 420",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442241032",
            "telephone_number": "330-344-1260",
            "fax_number": "330-344-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ALLEN RD STE 420",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442241032",
            "telephone_number": "330-344-1260",
            "fax_number": "330-344-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "SHANTHI",
        "middle_name": "E",
        "credential": "CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-04",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "TX",
            "license": "541329",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "TX",
            "license": "541329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN LICENSE",
            "identifier": "TX541329",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Robison
• Latisha Rogers
• Kelly Rohr
• Laura Marie Rose
• Jamie M Ross
• Michelle Rura, M.S., ATC
• David M Ryan, PHARMD.
• Richard C Rynearson, PH D
• Sandra Sadid, PAC
• Saf T First Transportation Inc.

• Psychiatric/Mental Health Clinical Nurse Specialist in Stow, OH
• Providers in Stow, OH by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.