Ryanne Kathleen Shotwell, M.ED, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT003475 Issued in PA

Practice address

133 N River St
Wilkes Barre, PA 18711-0800

Phone

(570) 208-5900

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

No

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

Credentials

Master of Education

State licenses

Practice roles

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.

• King'S College

  • Student Health Clinic/Center
  • Wilkes Barre, PA
  • NPI 1164749966
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952329823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CLEVELAND ST",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "187053304",
            "telephone_number": "570-208-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 N RIVER ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187110800",
            "telephone_number": "570-208-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOTWELL",
        "first_name": "RYANNE",
        "middle_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "M.ED, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT003475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Natassia Shipula, CRNP
• Christian Shissler
• Jennifer M Shoback, CNM
• James Joseph Shock III, BA
• Jennifer Marie Sholtis, RPH
• James R Shovlin, LPC
• Farook K Shroff, M.D., F.A.C.C.
• Colleen Shuler
• Carina Shults
• April Shumate, MSW

• Athletic Trainer in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.