Individual provider Active NPI

Shukri A Addo, CNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1992363725
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN.396837 Issued in OH
Practice address
1180 E Main St
Columbus, OH 43205-1902
Phone
(614) 645-5535
Fax
(614) 645-5546
NPI assigned
Jun 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN.396837 OH
Family Nurse Practitioner 363LF0000X RN.396837 OH Primary

Addresses

Primary practice location

1180 E Main St
Columbus, OH 43205-1902

Mailing address

2780 Airport Dr Ste 100
Columbus, OH 43219-2289
Phone (614) 859-1906

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
I20220330002571 OH Practitioner - Nurse Practitioner 8224424221 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.396837OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Neighborhood Health Center Inc CurrentSince Mar 21, 2022 Accepting new patients
Columbus Neighborhood Health Center Inc Current Accepting new patients
Columbus Neighborhood Health Center, Inc. Current Accepting new patients
Columbus Neighborhood Health Center Inc CurrentSince Mar 21, 2022 Accepting new patients
Columbus Neighborhood Health Center, Inc. Family Current Accepting new patients
Columbus Neighborhood Health Center Inc Current Accepting new patients

Locations

600 N Pickaway St
Ste 300
Circleville, OH 43113
Phone (740) 207-4202

L3318
Columbus, OH 43260

2780 Airport Dr
Ste 100
Columbus, OH 43219
Phone (614) 859-1906

240 Parsons Ave
Fl 2
Columbus, OH 43215
Phone (614) 645-7487

4661 Sawmill Rd
Ste 101
Columbus, OH 43220
Phone (614) 526-3285

1905 Parsons Ave
Columbus, OH 43207
Phone (614) 586-4159

1180 E Main St
Columbus, OH 43205
Phone (614) 253-0861

1791 Alum Creek Dr
Ste 100
Columbus, OH 43207
Phone (614) 526-5420

1500 E 17th Ave
Columbus, OH 43219
Phone (614) 645-2700

2300 W Broad St
Columbus, OH 43204
Phone (614) 645-2300

3433 Agler Rd
Ste 2800
Columbus, OH 43219
Phone (614) 645-1600

Organizations & group practices 6

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": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1992363725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 AIRPORT DR STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432192289",
            "telephone_number": "614-859-1906",
            "fax_number": "614-645-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051902",
            "telephone_number": "614-645-5535",
            "fax_number": "614-645-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDO",
        "first_name": "SHUKRI",
        "middle_name": "A",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OH",
            "license": "RN.396837",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN.396837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.