Shawnie M Peters, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN140670 Issued in OH

Practice address

1646 Westbrook Dr
Beavercreek, OH 45434-6642

Phone

(937) 694-2542

NPI assigned

Aug 4, 2011

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

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": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1891074175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6681 NEW HORIZON AVE",
            "city": "ENON",
            "state": "OH",
            "postal_code": "453231452",
            "telephone_number": "937-694-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 WESTBROOK DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346642",
            "telephone_number": "937-694-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "SHAWNIE",
        "middle_name": "M",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN140670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth Perry, MD
• Tonya Kristin Perry, APRN-CNP, FNP-C
• Peter a. Ramirez, M.D. & Associates LLC
• Heather Larael Peters
• Paul Gregory Peters, MD
• Timothy Francis Peters, D.O.
• Megan Petric
• Lily Pfleiderer
• Marian Gaida Pham, NP
• Alexis Ann Phillips

• Licensed Practical Nurse in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.