Individual provider Active NPI

Shawn Rene Brundage-Bell, LPN

  • Licensed Practical Nurse
  • Cincinnati, OH
National Provider Identifier
1881840734
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN 091395 Issued in OH
Practice address
11560 New Hope Dr
Cincinnati, OH 45240-2110
Phone
(513) 674-1366
Fax
(513) 674-1366
NPI assigned
Aug 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN 091395 OH Primary

Addresses

Primary practice location

11560 New Hope Dr
Cincinnati, OH 45240-2110

Mailing address

11560 New Hope Dr
Cincinnati, OH 45240-2110
Phone (513) 674-1366

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

LicenseStateTypeSpecialty
PN 091395OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1881840734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11560 NEW HOPE DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452402110",
            "telephone_number": "513-674-1366",
            "fax_number": "513-674-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11560 NEW HOPE DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452402110",
            "telephone_number": "513-674-1366",
            "fax_number": "513-674-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNDAGE-BELL",
        "first_name": "SHAWN",
        "middle_name": "RENE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN 091395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.