Individual provider Active NPI

Chantell Tracie Shreves, RRT

  • Registered Respiratory Therapist
  • Lima, OH
National Provider Identifier
1992442776
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
7636 Issued in OH
Practice address
1378 Bellefontaine Ave
Lima, OH 45804-3110
Phone
(419) 224-5410
NPI assigned
May 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 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 Certified Respiratory Therapist 2278H0200X 7636 OH
Registered Respiratory Therapist 227900000X 7636 OH Primary

Addresses

Primary practice location

1378 Bellefontaine Ave
Lima, OH 45804-3110

Mailing address

1378 Bellefontaine Ave
Lima, OH 45804-3110
Phone (419) 224-5410

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

LicenseStateTypeSpecialty
7636OHMDHome Health Certified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Adaptive Medical Marketing, Inc CurrentSince May 16, 2022 Accepting new patients
Adaptive Medical Concepts, Inc. PastSince May 16, 2022 Accepting new patients

Locations

1378 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-5410

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.

NPI Registry JSON

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1992442776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1378 BELLEFONTAINE AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458043110",
            "telephone_number": "419-224-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1378 BELLEFONTAINE AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458043110",
            "telephone_number": "419-224-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHREVES",
        "first_name": "CHANTELL",
        "middle_name": "TRACIE",
        "credential": "RRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-13",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Home Health",
            "state": "OH",
            "license": "7636",
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "OH",
            "license": "7636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.