Active NPI
Shannel Wilson
- Child Intellectual and/or Developmental Disabilities Respite Care
- Cincinnati, OH
National Provider Identifier
1942631569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- Practice address
- 5631 Viewpointe Dr Apt G
Cincinnati, OH 45213-2649 - Phone
- (567) 249-7797
- NPI assigned
- Dec 7, 2013
- Last updated
- Dec 7, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | NU | Primary |
Addresses
Primary practice location
5631 Viewpointe Dr Apt G
Cincinnati, OH 45213-2649
Mailing address
PO Box 36522
Cincinnati, OH 45236-0522
Phone (567) 249-7797
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386374400000",
"number": "1942631569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36522",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452360522",
"telephone_number": "567-249-7797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5631 VIEWPOINTE DR APT G",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452132649",
"telephone_number": "567-249-7797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "SHANNEL",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-07",
"last_updated": "2013-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "NU",
"license": null,
"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 Dec 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.