Shelby Bohartz, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN316593 Issued in PA

Practice address

2141 Oregon Pike
Lancaster, PA 17601-4604

Phone

(717) 617-2706

NPI assigned

Mar 9, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1992452965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 HUNTERS KNOLL LN",
            "city": "LOGANTON",
            "state": "PA",
            "postal_code": "177479196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 OREGON PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014604",
            "telephone_number": "717-617-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHARTZ",
        "first_name": "SHELBY",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN316593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Bogda, MS
• Janet Bogen, MD
• Adam Boguski
• Damien Boham, CRNA
• Elizabeth Boham, FNP-C
• Denise Bohon, LCSW
• Pamela J Boimel, MD
• Jill Boisvert, COTA/L
• Jeffrey A Bole, PT
• Daralice D Boles, M.S., LPC

• Licensed Practical Nurse in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.