Shonda Isham I

Primary specialty

ContractorTaxonomy code 171W00000X

License

050532167 Issued in OH

Practice address

2733 Lafeuille Ave Apt 1
Cincinnati, OH 45211-7627

Phone

(513) 873-3751

NPI assigned

Aug 6, 2014

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 names 1

• Shonda Isham Former name

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": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1780093476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 LAFEUILLE AVE APT 1",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452117627",
            "telephone_number": "513-873-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2733 LAFEUILLE AVE APT 1",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452117627",
            "telephone_number": "513-873-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHAM",
        "first_name": "SHONDA",
        "name_prefix": "Ms.",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "OH",
            "license": "050532167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHONDA",
            "last_name": "ISHAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Craig E Isenhart, MD
• Haidyn Isenhart
• Brittany Isfort, CCC-SLP
• Robert William Isfort, M.D.
• Robert Ishakis, MD
• Aireal Ishola
• Jamie K Isidore
• Andrew Shafik Islam, MD, MS
• Elizabeth Ann Islam, NP-C
• Shakib Wasiful Islam, MD

• Contractor in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Contractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.