Individual provider Active NPI

Shannon Rio, FNP

  • Family Nurse Practitioner
  • Ashland, OR
National Provider Identifier
1851451249
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
085074775N1 Issued in OR
Practice address
246 Catalina Dr Suite 5
Ashland, OR 97520-1624
Phone
(541) 488-3221
Fax
(541) 488-5884
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 085074775N1 OR Primary

Addresses

Primary practice location

246 Catalina Dr Suite 5
Ashland, OR 97520-1624

Mailing address

246 Catalina Dr Suite 5
Ashland, OR 97520-1624
Phone (541) 488-3221

Other identifiers 1

IdentifierTypeStateIssuer
073403MedicaidOR

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew Kirk Gooding MD Past Accepting new patients
Planned Parenthood of Southwestern Oregon Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301616000000",
    "number": "1851451249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 CATALINA DR SUITE 5",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201624",
            "telephone_number": "541-488-3221",
            "fax_number": "541-488-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 CATALINA DR SUITE 5",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201624",
            "telephone_number": "541-488-3221",
            "fax_number": "541-488-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIO",
        "first_name": "SHANNON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2011-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "085074775N1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "073403",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.

Verify at the official NPI Registry.