Individual provider Active NPI

Shanna Renee Ream, FNP-C

  • Family Nurse Practitioner
  • Beavercreek, OH
National Provider Identifier
1962926717
Registry record updated Aug 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP.CNP.021246 Issued in OH
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

Updated by the provider on Aug 2, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171115000336 OH Practitioner - Nurse Practitioner 2062778632 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.347224OHMDRegistered Nurse
ARNP.CNP.021246OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Healthcare LLC CurrentSince Apr 24, 2024 Accepting new patients
Lifecare Hospice Past Accepting new patients
The Hospice of Dayton, Inc. PastSince Apr 24, 2024 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.

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

Verify at the official NPI Registry.