Active NPI
Kathleen Shinn, CRNA
- Specialist
- Toledo, OH
National Provider Identifier
1992747190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 128829
- Practice address
- 2409 Cherry St #305
Toledo, OH 43608 - Phone
- (419) 251-3740
- Fax
- (419) 251-3859
- NPI assigned
- Jun 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 128829 | OH | Primary |
Addresses
Primary practice location
2409 Cherry St #305
Toledo, OH 43608
Mailing address
124 E Harrison St
Maumee, OH 43537-3336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2401403 | 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)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128829 | OH | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Anesthesiologists of Toledo, Inc | Specialist | 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.
-
- Specialist
- Toledo, OH
- NPI 1871544312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992747190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 E HARRISON ST",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435373336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2409 CHERRY ST #305",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43608",
"telephone_number": "419-251-3740",
"fax_number": "419-251-3859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHINN",
"first_name": "KATHLEEN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "128829",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2401403",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.