Active NPI
Shanna Renee Ream, FNP-C
- Family Nurse Practitioner
- Beavercreek, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP.CNP.021246
- Practice address
- 1654 Mardon Dr
Beavercreek, OH 45432-1949 - Phone
- (937) 203-4041
- NPI assigned
- Aug 2, 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.347224 | OH | |
| Family Nurse Practitioner | 363LF0000X | ARNP.CNP.021246 | OH | Primary |
Addresses
Primary practice location
1654 Mardon Dr
Beavercreek, OH 45432-1949
Mailing address
4947 Bath Rd
Dayton, OH 45424-1756
Phone (937) 604-7715
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.347224 | OH | MD | Registered Nurse |
| ARNP.CNP.021246 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pure Healthcare LLC | Current | Accepting new patients | |
| Lifecare Hospice | Past | Accepting new patients | |
| The Hospice of Dayton, Inc. | Past | Accepting new patients |
Locations
1109 Eastern Ave
Ashland, OH 44805
Phone (330) 264-4899
2200 Miami Valley Dr
Dayton, OH 45459
Phone (937) 668-7873
7575 Paragon Rd
Dayton, OH 45459
Phone (937) 256-4490
1263 Glen Dr
#B
Millersburg, OH 44654
Phone (330) 264-4899
716 Commercial Ave SW
New Philadelphia, OH 44663
Phone (330) 343-7605
2269 Cherry Valley Rd SE
Newark, OH 43055
Phone (740) 344-0311
1900 Akron Rd
Wooster, OH 44691
Phone (330) 264-4899
Organizations & group practices 3
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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Dayton, OH
- NPI 1619115045
-
- Community Based Hospice Care Agency
- Dayton, OH
- NPI 1346220142
-
- Community Based Hospice Care Agency
- Wooster, OH
- NPI 1477540284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501632000000",
"number": "1962926717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4947 BATH RD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454241756",
"telephone_number": "937-604-7715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1654 MARDON DR",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454321949",
"telephone_number": "937-203-4041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REAM",
"first_name": "SHANNA",
"middle_name": "RENEE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-02",
"last_updated": "2017-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.347224",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "ARNP.CNP.021246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beavercreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.