Individual provider Active NPI

Shawntae Marie Romanello, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hamilton, OH
National Provider Identifier
1922531631
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.020562 Issued in OH
Practice address
210 S 2ND St
Hamilton, OH 45011-2811
Phone
(513) 454-1111
NPI assigned
Apr 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X RN.301118 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.020562 OH Primary

Addresses

Primary practice location

210 S 2ND St
Hamilton, OH 45011-2811

Mailing address

300 High St FL 3
Hamilton, OH 45011-6078
Phone (513) 454-1460

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shawntaer@myprimaryhealthsolutions.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171101000286 OH Practitioner - Nurse Practitioner 0143596486 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler Behavioral Health Services, Inc.Group PAC ID 9537061742, 14 clinicians

Practice addresses (Care Compare)

1490 University Blvd
Suite a
Hamilton, OH 45011-3306
Phone (513) 896-7887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.301118OHMDChild & Adolescent Psychiatric/Mental Health Registered Nurse
APRN.CNP.020562OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering Independent Medical Group Inc CurrentSince Dec 29, 2022 Accepting new patients
Butler County Community Health Consortium Inc Current Accepting new patients
Butler County Community Health Consortium Inc Past Accepting new patients
Butler Behavioral Health Services, Inc. Past Accepting new patients

Locations

630 Eaton Ave
Ste 2W
Hamilton, OH 45013

630 Eaton Ave
#2W
Hamilton, OH 45013
Phone (513) 867-2433

210 S 2nd St
Hamilton, OH 45011
Phone (513) 892-1888

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

Interoperability endpoints

  • Direct secure messaging: sromanello457837@direct.ketteringhealth.org

Organizations & group practices 5

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": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1922531631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HIGH ST FL 3",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450116078",
            "telephone_number": "513-454-1460",
            "fax_number": "513-881-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S 2ND ST",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450112811",
            "telephone_number": "513-454-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANELLO",
        "first_name": "SHAWNTAE",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "OH",
            "license": "RN.301118",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.020562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shawntaer@myprimaryhealthsolutions.org",
            "affiliation": "N",
            "address_1": "210 S 2nd St",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450112811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.