Active NPI
Melody Dawn Shear, RN
- Registered Nurse
- Centerville, OH
National Provider Identifier
1780967059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 365202
- Practice address
- 860 Pimlico
Apt. 1B
Centerville, OH 45459-8253 - Phone
- (937) 723-9186
- Fax
- (937) 723-9186
- NPI assigned
- Sep 23, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 365202 | OH | Primary |
Addresses
Primary practice location
860 Pimlico
Apt. 1B
Centerville, OH 45459-8253
Mailing address
860 Pimlico
Apt. 1B
Centerville, OH 45459-8253
Phone (937) 723-9186
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 365202 | Other | OH | OHIO BOARD OF NURSING |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 365202 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1780967059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 PIMLICO",
"address_2": "APT. 1B",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454598253",
"telephone_number": "937-723-9186",
"fax_number": "937-723-9186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 PIMLICO",
"address_2": "APT. 1B",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454598253",
"telephone_number": "937-723-9186",
"fax_number": "937-723-9186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEAR",
"first_name": "MELODY",
"middle_name": "DAWN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-23",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "365202",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO BOARD OF NURSING",
"identifier": "365202",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.