Ronda Kay Shaffner, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN133164 Issued in OH

Practice address

1668 Summit Creek Dr
Centerville, OH 45458-1136

Phone

(937) 622-1592

NPI assigned

Feb 10, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Home Care With a Twist

  • In Home Supportive Care Agency
  • Centerville, OH
  • NPI 1740764554
  NPD Authorized official

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1699914911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1668 SUMMIT CREEK DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454581136",
            "telephone_number": "937-622-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1668 SUMMIT CREEK DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454581136",
            "telephone_number": "937-622-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFNER",
        "first_name": "RONDA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-10",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN133164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN",
            "identifier": "PN133164",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher James Sesslar, M.D.
• Charles Adam Setser, MD
• Tori Reagan Severs, M.D.
• Victoria Sevy
• Hannah Grace Shafer
• Rishi Shah, DDS
• Tushar Nandlal Shah, M.D.
• Robin L Shampton, LPCC-S
• Jaya Sharma
• Melissa Shaw

• Licensed Practical Nurse in Centerville, OH
• Providers in Centerville, 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 Mar 17, 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.