Shana Kieswetter, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

RN.542140 Issued in OH

Practice address

1508 W River Rd N
Elyria, OH 44035-2714

Phone

(440) 647-8100

Fax

(440) 426-8375

NPI assigned

Dec 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Shana Creadon Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Premier Care of Ohio, Inc.

  • Community/Behavioral Health Agency
  • Elyria, OH
  • NPI 1700642428
  NPD
• Premier Care of Ohio, LLC

  • Methadone Clinic
  • Elyria, OH
  • NPI 1437915055
  NPD

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752883200000",
    "number": "1972262632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 LEAVITT RD",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440532343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 W RIVER RD N",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440352714",
            "telephone_number": "440-647-8100",
            "fax_number": "440-426-8375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 N Leavitt Rd",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "OH",
            "postal_code": "440011131",
            "country_code": "US",
            "telephone_number": "440-328-4213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIESWETTER",
        "first_name": "SHANA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-09",
        "last_updated": "2025-07-19",
        "certification_date": "2025-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.179620.MEDS-IV",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "RN.542140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shana.kieswetter@cmsgiveshope.com",
            "affiliation": "N",
            "address_1": "1508 W River Rd N",
            "city": "Elyria",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440352714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHANA",
            "last_name": "CREADON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maureen C Keshock, M.D.
• Sadaf Khan, MD
• Chirag Labhubhai Kher, MD
• Ekaterina Kholyavka, NP-C
• Deloris Kibble
• Jerome Francis Kiffer
• Kimberly Nichelson DPM
• Delcenia Kimbrough, CARE COORDINATOR
• Amy M. King, NP
• Jennifer King, CDCA

• Addiction (Substance Use Disorder) Registered Nurse in Elyria, OH
• Providers in Elyria, OH by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2025; 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.