Individual provider Active NPI

Leonard Shamis, BSN, RN

  • Registered Nurse
  • Chagrin Falls, OH
National Provider Identifier
1942482583
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
220055 Issued in OH
Practice address
29449 Jackson Rd
Chagrin Falls, OH 44022-1536
Phone
(216) 896-9478
Fax
(216) 896-9810
NPI assigned
Dec 5, 2007
Last updated
Dec 5, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 220055 OH Primary

Addresses

Primary practice location

29449 Jackson Rd
Chagrin Falls, OH 44022-1536

Mailing address

29449 Jackson Rd
Chagrin Falls, OH 44022-1536
Phone (216) 896-9478

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
220055OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1942482583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29449 JACKSON RD",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440221536",
            "telephone_number": "216-896-9478",
            "fax_number": "216-896-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29449 JACKSON RD",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440221536",
            "telephone_number": "216-896-9478",
            "fax_number": "216-896-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMIS",
        "first_name": "LEONARD",
        "name_prefix": "Mr.",
        "credential": "BSN, RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "220055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chagrin Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.