Active NPI
Shannon Prikkel
- School Registered Nurse
- Englewood, OH
National Provider Identifier
1972973170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 392899
- Practice address
- 4001 Old Salem Rd
Englewood, OH 45322-2681 - Phone
- (937) 832-5000
- Fax
- (937) 832-5001
- NPI assigned
- Sep 30, 2015
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 392899 | OH | Primary |
Addresses
Primary practice location
4001 Old Salem Rd
Englewood, OH 45322-2681
Mailing address
4001 Old Salem Rd
Englewood, OH 45322-2681
Phone (937) 832-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PRIKKELS | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 392899 | OH | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northmont City School District | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Englewood, OH
- NPI 1447452131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1972973170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 OLD SALEM RD",
"city": "ENGLEWOOD",
"state": "OH",
"postal_code": "453222681",
"telephone_number": "937-832-5000",
"fax_number": "937-832-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 OLD SALEM RD",
"city": "ENGLEWOOD",
"state": "OH",
"postal_code": "453222681",
"telephone_number": "937-832-5000",
"fax_number": "937-832-5001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIKKEL",
"first_name": "SHANNON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-30",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "OH",
"license": "392899",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PRIKKELS",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Englewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.