Active NPI
Shawntae Marie Romanello, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Hamilton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN.CNP.020562
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN.301118 | OH | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
| APRN.CNP.020562 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kettering Independent Medical Group Inc | Current | 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
- 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.
-
- Community/Behavioral Health Agency
- Hamilton, OH
- NPI 1053377184
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
-
- Primary Care Clinic/Center
- Hamilton, OH
- NPI 1487677985
-
- Community/Behavioral Health Agency
- Hamilton, OH
- NPI 1801373428
-
- Primary Care Clinic/Center
- Middletown, OH
- NPI 1134142631
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.