Active NPI
Casey Shannon Yarger, RN
- Registered Nurse
- Georgetown, OH
National Provider Identifier
1982280996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.389657
- Practice address
- 421 Home St
Georgetown, OH 45121-1407 - Phone
- (833) 510-4357
- NPI assigned
- Mar 20, 2021
- 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 | 1175205 | KY | |
| Registered Nurse | 163W00000X | RN.389657 | OH | Primary |
Addresses
Primary practice location
421 Home St
Georgetown, OH 45121-1407
Mailing address
4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (513) 873-1269
Other practice location 1
247 Cic Blvd
West Union, OH 45693-7512
Phone (513) 941-4999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0442290 | 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1175205 | KY | MD | Registered Nurse |
| RN.389657 | OH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FRS Counseling | Past | Accepting new patients | |
| FRS Counseling | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/frscounseling/r4/
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hillsboro, OH
- NPI 1417917063
-
- Community/Behavioral Health Agency
- Hillsboro, OH
- NPI 1891055133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698796800000",
"number": "1982280996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 MONTGOMERY RD STE 400",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452122600",
"telephone_number": "513-873-1269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 HOME ST",
"city": "GEORGETOWN",
"state": "OH",
"postal_code": "451211407",
"telephone_number": "833-510-4357"
}
],
"practiceLocations": [
{
"address_1": "247 Cic Blvd",
"address_purpose": "LOCATION",
"city": "West Union",
"state": "OH",
"postal_code": "456937512",
"country_code": "US",
"telephone_number": "513-941-4999",
"fax_number": "513-694-0168",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YARGER",
"first_name": "CASEY",
"middle_name": "SHANNON",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-20",
"last_updated": "2023-11-01",
"certification_date": "2023-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KY",
"license": "1175205",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.389657",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0442290",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.