Active NPI
Dawn Marie Shuster, L.P.N.
- Licensed Vocational Nurse
- Medina, OH
National Provider Identifier
1801914213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- PN100322
- Practice address
- 924 Weymouth Rd
Medina, OH 44256-2042 - Phone
- (330) 722-6002
- NPI assigned
- Mar 26, 2007
- 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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | PN100322 | OH | Primary |
Addresses
Primary practice location
924 Weymouth Rd
Medina, OH 44256-2042
Mailing address
924 Weymouth Rd
Medina, OH 44256-2042
Phone (330) 722-6002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2204644 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN100322 | OH | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1801914213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "924 WEYMOUTH RD",
"city": "MEDINA",
"state": "OH",
"postal_code": "442562042",
"telephone_number": "330-722-6002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "924 WEYMOUTH RD",
"city": "MEDINA",
"state": "OH",
"postal_code": "442562042",
"telephone_number": "330-722-6002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUSTER",
"first_name": "DAWN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "L.P.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "OH",
"license": "PN100322",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2204644",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.